Pulmonology Coding Alert
Find The Presence of Hypercapnia and Hypoxia From ABG Tests
As ICD-10 codes for chronic respiratory failure are based on the presence of hypoxia or hypercapnia, you will need to know how to identify this in the documentation. You can identify this information by looking at the results of arterial blood gas (ABG) analysis.
When there is hypoxia, you will note an arterial oxygen tension (PaO2) < 60mm of Hg while arterial carbon dioxide tension remains normal or low. If hypoxia is present, the respiratory failure is classified as type I failure.
When hypercapnia is present, PaCO2 levels will be higher than 50 mm of Hg. The pH levels will be less than 7.3 and bicarbonate levels will usually be elevated. A respiratory failure with hypercapnia is classified as type II failure.
Pulmonology Coding Alert
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