The main documentation difference between ICD-9 and ICD-10 for Acute Respiratory failure is the specificity around hypoxic vs hypercapnic.
As a reminder, According to Harrisons’
Manual of Internal Medicine. There are 4 types of respiratory failure. Acute
respiratory failure is a syndrome in which the respiratory system fails in one
or both of its gas exchange functions: oxygenation and carbon dioxide
elimination.
· -
Hypoxic
respiratory failure (type I) is characterized by an oxygenation problem. This
is the most common form of respiratory failure, and it can be associated with
virtually all acute diseases of the lung, which generally involve fluid filling
or collapse of alveolar units.
·
-Type
II respiratory failure is associated with CO2 exchange and is commonly present
in COPD patients.
· -
Type
III Respiratory failure is perioperative respiratory failure and mostly
secondary to lung atelectasis.
-Type IV respiratory
failure is secondary to hypo-perfusion of respiratory muscles in patients in
shock.
On a second note, next week, the House Energy and Commerce Committee's
subcommittee on healthcare will hear testimony from stakeholders regarding ICD-10. The "Examining ICD-10
Implementation" hearing, set for February 11 at 10:15 a.m. ET, will be webcast
live at energycommerce.house.gov.
Historically, this subcommittee has played key roles in
healthcare legislation and the ongoing debate over the Medicare sustainable
growth rate (SGR) patch
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