Does a patient have to be on 24/7 continuous oxygen in order to be queried for Chronic resp. failure
Can a patient have chronic respiratory failure and be treated with less than 24/7 continuous oxygen therapy? Can a patient be in chronic respiratory failure and be treated with steroids and nebs alone? In reading 3M CDI system reference it states the following "regardless of the amount of time on oxygen each day"
3M Coding reference-CDI system reference
- Review the medical record documentation for the condition that requires the oxygen dependence, e.g., COPD, emphysema, acute-on-chronic systolic heart failure, chronic systolic heart failure, chronic respiratory failure. Query for clarification if condition is not documented.
Clinical Documentation Concepts
- Dependence on supplemental oxygen indicates the patient is on long term oxygen therapy. This can be reported regardless of the amount of time on oxygen each day (e.g., patient uses oxygen only at night). Additionally, although the patient might not be dependent on admission, review the record for need for home O2 at time of discharge.