Chronic dependence on mechanical ventilator: Difference between revisions
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*AG REPLY --- This is a judgement call. You certainly could expect that someone with THIS code should also have a code of [[Respiratory failure (insufficiency), chronic]], but I feel less strongly of the | *AG REPLY --- This is a judgement call. You certainly could expect that someone with THIS code should also have a code of [[Respiratory failure (insufficiency), chronic]], but I feel less strongly of the | ||
absolute NEED for that, than I am to say that if you have THIS code, you should definitely NOT also have [[Respiratory failure (insufficiency) NOS, acute]]. | absolute NEED for that, than I am to say that if you have THIS code, you should definitely NOT also have [[Respiratory failure (insufficiency) NOS, acute]]. | ||
** Defined check that Allan requested, but, Julie, how do you feel about the others? | ** Defined check that Allan requested, but, Julie, how do you feel about the others? I am OK not to include others in the hard check.--[[User:JMojica|JMojica]] 10:00, 2018 November 20 (CST) }} | ||
{{Data Integrity Check | {{Data Integrity Check | ||
Revision as of 11:00, 2018 November 20
| ICD10 Diagnosis | |
| Dx: | Chronic dependence on mechanical ventilator |
| ICD10 code: | Z99.1 |
| 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.
Additional Info
- Here are the rules for when you can this code:
- if patient comes into hospital, from home or from a in a CHRONIC care facility and he/she is on the ventilator, then use this code as a Comorbid Diagnosis.
- if the patient comes to you on a ventilator from any ACUTE care facility (including IICU), do NOT use this code.
- if a patient who previously was not on chronic MV leaves the hospital to go to home or to a chronic care facility on a ventilator, use this code as a Acquired Diagnosis / Complication.
- if the patient leaves on a ventilator to go to another acute care facility (including IICU) you do NOT use this code.
- If a patient who had some sort of acute respiratory failure and during a continuous episode of hospital care (which could include interhospital transfers), has been on invasive mechanical ventilation for at least 90 days or more, without any planned extubations or unsupported spontaneous breathing during that time, then use chronic dependence on mechanical ventilator as an Acquired Diagnosis / Complication.
- if patient comes into hospital, from home or from a in a CHRONIC care facility and he/she is on the ventilator, then use this code as a Comorbid Diagnosis.
- Also code cause if known
- Do NOT use this code for "Failure to wean" - it is not a valid ICD10 diagnosis. Code the type of respiratory failure present, see alternate dxs below.
Alternate ICD10s to consider coding instead or in addition
- Respiratory failure (insufficiency), chronic
- Respiratory failure (insufficiency) NOS, acute
- Respiratory failure (insufficiency) NOS, not specified as acute or chronic
- Respiratory disorder, postprocedure/postop NOS
Candidate Combined ICD10 codes
- Generally when you code this you should also combine it with Respiratory failure (insufficiency), chronic
Related CCI Codes
Conversion from our old diagnosis schema to ICD10/CCI
Might receive data from R Filter Field/LTV; see details on that page.
Cross checks
|
absolute NEED for that, than I am to say that if you have THIS code, you should definitely NOT also have Respiratory failure (insufficiency) NOS, acute.
|
| Data Integrity Checks | |
| Summary: | Chronic dependence on mechanical ventilator should not be coded with Respiratory failure (insufficiency) NOS, acute |
| Related: | Chronic dependence on mechanical ventilator, Respiratory failure (insufficiency) NOS, acute |
| Firmness: | hard check |
| Timing: | |
| App: | CCMDB.mdb |
| Coding: | how to find this in containing program, eg. SAS file, function name, query name... |
| Uses L Problem table: | not relevant for this app |
| Status: | needs review |
| Implementation Date: | date change was rolled out / first applied |
| Backlogged: | true |
Legacy info
This used to be collected in LTV /R_Filter.
Related Articles
Show all ICD10 Subcategories