Wiki Inability to wean from respirator

[Jarts]

Pt underwent a paraesophageal hernia repair and then ultimately was not able to wean from the respirator so the physician did a tracheostomy. I am not sure what icd-9 would be appropriate for the tracheostomy.

Help?
Julie

 

[Herbie Lorona]

What about 518.5 - Pulmonary insufficiency following trauma and surgery

 

[jthweatt]

V46.11 - Dependence on respirator?

Jerri, CPC

 

[Herbie Lorona]

V46.11 is a secondary diagnosis only

Was the patiet on the respirator prior to the paraesophageal hernia repair?

 

[jthweatt]

You are correct, sir. Sorry.

Jerri, CPC

 

[Jarts]

No, not on respirator prior to procedure.