Respiratory failure (insufficiency), chronic
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|Dx:||Respiratory failure (insufficiency), chronic|
|Pre-ICD10 counterpart:||none assigned|
|APACHE Como Component:||Respiratory|
|APACHE Acute Component:||none|
|External ICD10 Documentation|
- 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 into 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.
- 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 (SMW)