Full Answer
Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia. 2016 2017 2018 2019 Billable/Specific Code. J96.90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
respiratory distress syndrome in newborn (perinatal) ( ICD-10-CM Diagnosis Code P22.0. Respiratory distress syndrome of newborn 2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record.
OFFICIAL CODING GUIDELINE Acute or acute on chronic respiratory failure may be reported as principal diagnosis when it is the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.
Acute respiratory distress syndrome. A disorder characterized by progressive and life-threatening pulmonary distress in the absence of an underlying pulmonary condition, usually following major trauma or surgery. A syndrome characterized by progressive life-threatening respiratory insufficiency in the absence of known lung diseases,...
Look for documented signs / symptoms of: SOB (shortness of breath) Delirium and/or anxiety. Syncope. Use of accessory muscles / poor air movement.
Very seldom is it a simple cut and dry diagnosis. There always seems to be just enough gray to give coders on any given day some doubt. It’s not only important for a coder to be familiar with the guidelines associated with respiratory failure but they should also be aware of the basic clinical indicators as well.
A patient with a chronic lung disease such as COPD may have an abnormal ABG level that could actually be considered that particular patient’s baseline.
Acute or Acute on Chronic Respiratory Failure may be assigned as a principal diagnosis when it is the condition established after study to be chiefly responsible for occasioning the admission to the hospital, and the selection is supported by the Alphabetic Index and Tabular List. However, chapter-specific coding guidelines (such as obstetrics, poisoning, HIV, newborn) that provide sequencing direction take precedence.
When coding Respiratory Failure (or any condition) and trying to determine whether it should be assigned as principal diagnosis or not, look for: 1 All signs and symptoms at the time of admission 2 Clinical indicators 3 Supporting physician documentation 4 Treatment plans
It is also important for coders to understand the clinical indicators of Acute and/or Chronic Respiratory Failure in order to establish a query when necessary. Life-threatening condition that may be caused by a respiratory condition as well as a non-respiratory condition.
A patient with a chronic lung disease such as COPD may have an abnormal ABG level that could actually be considered that particular patient’s baseline.
Acute or Acute on Chronic Respiratory Failure may be assigned as a principal diagnosis when it is the condition established after study to be chiefly responsible for occasioning the admission to the hospital, and the selectionis supported by the Alphabetic Index and Tabular List. However, chapter-specific coding guidelines (such as obstetrics, poisoning, HIV, newborn) that provide sequencing direction take precedence.
Types of respiratory failure are categorized by acute, chronic, acute-on-chronic, AND whether the patient has hypoxia, hypercapnia, or both.
The recommended oxygen target saturation range in patients not at risk of type II respiratory failure is 94%–98%; in patients at risk of type II respiratory failure, the range is 88%–92%.