AHA Coding Clinic® for ICD-9 - 2013 Issue 1; Ask the Editor - ICD-9-CM Coding
Intermittent (Nocturnal) Ventilation
A patient has consistently been on intermittent ventilation, including nocturnal for the last two years. During the current admission, the physician decides to try to wean from nocturnal ventilation. How are the number of hours calculated for a patient being weaned from nocturnal ventilaton? Is it appropriate to only include the actual hours that the patient is on the ventilator or is the entire weaning period included? ...
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Article Overview
This article addresses a coding and timing question related to intermittent, including nocturnal, ventilation during an inpatient stay. It is aimed at coding and reimbursement professionals who need general guidance on how the ventilation period is considered when weaning is attempted.
Why This Topic Matters
Questions about how to count ventilation time can affect how respiratory support is reported and interpreted in coding workflows.
What You Will Learn
- How the article frames time accounting for intermittent nocturnal ventilation
- What broad period is considered when weaning from ventilation is discussed
- How the topic relates to inpatient coding review for respiratory support services
- What general question the article is intended to clarify
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Clinical documentation staff
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