A patient with a past medical history of obstructive sleep apnea (OSA) is admitted and placed on continuous positive airway pressure (CPAP) at night and as needed during the day. During the admission, the patient was placed on CPAP overnight for three nights and once during the day. What is the correct ICD-10-PCS code for patients who are placed on CPAP intermittently throughout the admission? Would an ICD-10-PCS code for “Assistance with respiratory ventilation” be assigned each time the patient is placed on noninvasive CPAP during the admission?
The CPAP system is a noninvasive ventilation support system designed to augment a patient’s ability to breathe on a spontaneous basis. The code assignment depends on the number of consecutive hours that the patient receives CPAP. Based on the documentation provided, assign the following ICD-10-PCS code once during the admission:
5A09357 Assistance with respiratory ventilation, less than 24 consecutive hours, continuous positive airway pressure, since the patient received CPAP for less than 24 consecutive hours.Facilities may develop their own internal guidelines, as to whether they wish to code and report the CPAP support once, multiple times or not at all.