Acute respiratory failure - Subcommittee meeting

 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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