AHA Coding Clinic® for ICD-9 - 2013 Issue 1; Ask the Editor - ICD-9-CM Coding

Self-Extubation and Mechanical Ventilation

How are the hours of mechanical ventilation calculated when a patient self-extubates? For example, the patient was placed on mechanical ventilation on day 3. Within 96 hours, the patient self-extubated and this occurred several times during the stay. The patient was re-intubated each time that he self-extubated until he expired on day 14. Does the fact that the patient self-extubated affect the number of hours reported for mechanical ventilation? ...

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