Did you know? Chronic Respiratory Failure is more common than you may think.
1. Continuous (24/7) home oxygen therapy (not just overnight). Note: No need to demonstrate hypoxemia as oxygen therapy only covered by insurance for home use if specific hypoxemia requirements have previously been met.
2. Normal serum pH with a pCO2 > 50 mmHg (i.e. – chronic compensation on an ABG) Note: An elevated serum bicarbonate level on a BMP indicates a compensatory metabolic alkalosis which may be due to a chronic respiratory acidosis (i.e. – the patient likely meets the criteria for chronic respiratory failure!)
3. Home ventilator usage with tracheostomy
|MCC (Very Sick)
|On home O2||Chronic Respiratory Failure||Acute on Chronic Respiratory Failure|
The cause(s) of the respiratory failure should be stated, such as:
• Interstitial lung diseases
• Obesity Hypoventilation Syndrome
• Cystic Fibrosis
• Muscular Dystrophies
• Pulmonary Hypertension
• Spinal cord injuries
|Clinical Language that is not effective for coding purposes||Highly effective language that will support metrics|
|COPD on home oxygen||COPD with chronic respiratory failure, on home oxygen|
Download the complete tip, Chronic Respiratory Failure.