Respiratory failure (insufficiency), chronic

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ICD10 Diagnosis
Dx: Respiratory failure (insufficiency), chronic
ICD10 code: J96.19
Pre-ICD10 counterpart: none assigned
Charlson/ALERT Scale: none
APACHE Como Component: Respiratory
APACHE Acute Component: none
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • J96.19
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Additional Info

  • Note that this code covers not just overt respiratory failure, but all levels of respiratory insufficiency.
    • e.g. You can use it for a chronically hypercapnic COPD patient, or for a chronically hypoxemic pulmonary fibrosis patient, etc.
  • This code would likely be the main admit diagnosis to IICU for a large number of patients going to that unit
    • And furthermore, it's appropriate in the ICU record prior to IICU transfer to code it as an acquired diagnosis.
  • Also code the cause if known.
  • Also code Chronic dependence on mechanical ventilator if present.
  • Use this code for a patient who comes to the ward or ICU from home or a chronic care facility or IICU, where respiratory insufficiency or failure has been present -- in this situation use this code as a Comorbid Diagnosis. (ie. Home O2)
  • When a patient develops chronic respiratory insufficiency or failure after the start of their current database record, code it as an Acquired Diagnosis / Complication. And the decision that this occurred will be a clinical decision, made by the data collectors.
  • For a typical IICU patient, use the following codes if applicable:
Seeking clarification-is this listed trach code above included as an admit dx for IICU patients? Or Is it to be coded as a comorb in these instances or only the trach creation as an admit CCI? 
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