AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 4; Frequently Asked Questions

Acute Respiratory Failure Progressing to Acute Respiratory Distress Syndrome

An elderly female was admitted to the intensive care unit due to acute hypoxemic respiratory failure. During the hospitalization, the patient required high flow nasal cannula and BIPAP; however, despite these aggressive measures her respiratory status continued to decline, requiring intubation and mechanical ventilation. In the final diagnostic statement, the provider listed “Acute respiratory distress syndrome (ARDS).” Is ARDS considered a progression of the respiratory failure or a distinct clinical condition? What ICD-10-CM code and present on admission (POA) indicator should be assigned for a patient who is admitted in acute hypoxic respiratory failure that progresses to ARDS? ...

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