AHA Coding Clinic® for ICD-9 - 2005 Issue 1

Respiratory Failure

The Central Office has continued to receive numerous requests regarding the sequencing of respiratory failure. The following instruction has been developed by the Cooperating Parties to provide clarification. Some of the principles outlined below are consistent with previously published advice, and some contain revised information. Please review carefully these principles along with the accompanying examples. Code 518.81, Acute respiratory failure, may be assigned as a principal diagnosis when it is the condition established after study to be chiefly responsible for occasioning the admission to the hospital, and the selection is supported by the Alphabetic Index and Tabular List...

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