ICD-10 Coding for Respiratory Arrest(R09.2)
Complete ICD-10-CM coding and documentation guide for Respiratory Arrest. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Respiratory Arrest
R09.2Primary Range
Respiratory arrest
This code is used to identify cases where there is a complete cessation of breathing.
Respiratory failure, not elsewhere classified
These codes are used when respiratory failure is present, which may accompany respiratory arrest.
Key Information: ICD-10 code for respiratory arrest
Essential facts and insights about Respiratory Arrest
Primary ICD-10-CM Code for respiratory arrest
Decision Criteria
clinical Criteria
- Absence of spontaneous respirations requiring intervention
coding Criteria
- Sequence underlying cause first
Applicable To
- Apnea
- Cessation of breathing
Excludes
- Respiratory failure (J96.-)
Clinical Validation Requirements
- Absence of spontaneous respirations
- Interventions such as CPR or mechanical ventilation required
Code-Specific Risks
- Misclassification with respiratory failure
- Omitting underlying cause documentation
Coding Notes
- Ensure to document the absence of breathing and any interventions performed.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Poisoning by heroin, accidental (unintentional), initial encounter
T40.2X5ADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acute respiratory failure with hypoxia
J96.01Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Respiratory Arrest to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R09.2.
Impact
Clinical: Misrepresents the patient's condition., Regulatory: May lead to compliance issues during audits., Financial: Incorrect DRG assignment affects reimbursement.
Mitigation Strategy
Ensure clear documentation of breathing cessation., Differentiate from respiratory distress in notes.
Impact
Reimbursement: Incorrect coding can lead to inappropriate DRG assignment., Compliance: May result in audits due to coding discrepancies., Data Quality: Affects clinical data accuracy and patient records.
Mitigation Strategy
Document the absence of breathing explicitly and differentiate from inadequate breathing.
Impact
Failure to code the underlying cause of respiratory arrest first.
Mitigation Strategy
Educate coders on sequencing rules and provide examples.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Respiratory Arrest, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Respiratory Arrest
Use these documentation templates to ensure complete and accurate documentation for Respiratory Arrest. These templates include all required elements for proper coding and billing.
Inpatient Respiratory Arrest
Specialty: PulmonologyRequired Elements
- Time of arrest
- Interventions performed
- Underlying cause
- ABG results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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