Respiratory failure (insufficiency), chronic

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	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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

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• SMW

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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:
  • Respiratory failure (insufficiency), chronic in admit codes. (If the patient came from another unit (ex.MICU) this code would be an acquired diagnosis in that profile).
  • Code the underlying cause for the respiratory failure (ex. GBS, C-spine injury, etc).
  • Muscle, wasting/atrophy NOS
  • Tracheostomy, has one

Alternate ICD10s to consider coding instead or in addition

• Respiratory failure (insufficiency) NOS, acute
• Respiratory failure (insufficiency), chronic
• Respiratory failure (insufficiency) NOS, not specified as acute or chronic
• Chronic dependence on mechanical ventilator
• Hypercapnia (hypercarbia)
• Hypoxemia (hypoxia)
• ARDS (noncardiogenic pulmonary edema)
• Transfusion-related acute lung injury (TRALI, form of ARDS)
• Respiratory arrest

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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Show all ICD10 Subcategories

ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results