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AHA Coding Clinic® for ICD-9 - 2010 Issue 3; Ask the Editor

Ventilator Weaning

Previously published Coding Clinic advice regarding the counting of mechanical ventilation hours for patients admitted for weaning assumed that the patient was already on mechanical ventilation at the time of admission. However, our question relates to patients admitted to a long term care hospital on a T-piece or tracheostomy collar the day of the transfer, but placed on mechanical ventilation that evening. How are the hours of mechanical ventilation counted? Should we begin counting hours at the start of the admission even though the patient is breathing through the T-piece without mechanical ventilation, or are the hours counted from the time the patient is on the vent? ...

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