Wiki Acute respiratory failure due to exacerbation of COPD

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G
Code: J96.01

Code Name: ICD-10 Code for Acute respiratory failure with hypoxia

Block: Acute respiratory failure with hypoxia

J96

Excludes1: acute respiratory distress syndrome (J80)
cardiorespiratory failure (R09.2)
newborn respiratory distress syndrome (P22.0)
postprocedural respiratory failure (J95.82-)
respiratory arrest (R09.2)
respiratory arrest of newborn (P28.81)
respiratory failure of newborn (P28.5)

Details: Other diseases of the respiratory system (J96-J99)

Guidelines: Diseases of the respiratory system (J00-J99)

Use additional code, where applicable, to identify:exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco use (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)


Note: When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
smoke inhalation (T59.81-)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

For more details on J96.01 , ICD-10 Code for Acute respiratory failure with hypoxia , https://coder.aapc.com/icd-10-codes/
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Hello,


If Physician documented Acute respiratory failre due to COPD exacerbation, If ARF has more relative weighage compare to COPD what will be the Pdx?
 
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COPD and Respiratory failure.

Hi,

It's still a mystery for the Inpatient setting to assign Pdx between COPD exacerbation and respiratory failure.

If both condition chiefly occasioning the admit , assign Pdx based on work up.

If the patient oxygen saturation less than 88% PH less than 7.35,CO2 saturation more than 60% on admit and had ventilation setting like(BIPAP, CPAP) consider Respiratory Failure as pdx.

If the patient didn't meets above criteria please assign COPD exacerbation as Pdx.
 

srinivas.a

Contributor
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COPD and Respiratory failure.

Hii,

If any invasive therapy provided (i.e mechanical ventilation), i would go with respiratory failure as a PDX otherwise always COPD exacerbation is my PDX
 
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