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ICD-10: Ask for Clear Documentation for Reporting Acute on Chronic Respiratory Failure

Posted on 24. Jun, 2015 by in ICD-10

Code choices will hinge on presence of hypercapnia or hypoxia.

Treating patients who have chronic conditions can change how an anesthesiologist provides care in some circumstances, and might even allow for additional reimbursement. One example is a patient undergoing a procedure who has been diagnosed with acute exacerbation of chronic respiratory failure.

ICD-9: Currently, providers have three diagnosis choices in this situation, depending on the presence of hypercapnia or hypoxia from the results of blood gas analysis (which you’ll need to acquire from the surgeon or other physician).

For acute exacerbation of chronic respiratory failure, you report 518.84 (Acute and chronic respiratory failure). If the respiratory failure is identified to be caused by an infectious organism, you also report the causative organism using another ICD-9 code.

Reminder: If the respiratory failure has occurred due to trauma or surgery, you cannot use 518.84 to report the diagnosis. Instead, you will...

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