Patient is admitted with acute on chronic respiratory failure due to emphysema. Patient is dependent on oxygen and has had numerous admissions for pneumonia. Patient is treated with continuous BIPAP for 48 hours and is a DNR/DNI. No infection is identified, and deterioration in respiratory status is thought to be a progression of his emphysema. Patient was made comfort care and was discharged to at-home hospice care the following day.Final Diagnoses: End-stage emphysema
Acute on chronic respiratory failure with hypoxia
Procedure: BIPAP

Question

Quizplus · Accepted Answer

- J96.21 (Acute respiratory failure with hypoxia)
- J43.9 (Emphysema, unspecified)
- Z99.81 (Dependence on supplemental oxygen)
- Z87.01 (Personal history of diseases of respiratory system)
- Z66 (Do not resuscitate)
- Z51.5 (Palliative care)
- 5A09457 (Continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP))

The final diagnoses are end-stage emphysema and acute on chronic respiratory failure with hypoxia. The patient is dependent on supplemental oxygen, has a personal history of respiratory diseases, and is a DNR/DNI. They were treated with continuous BIPAP, which is indicated by the procedure code 5A09457.

Patient Is Admitted with Acute on Chronic Respiratory Failure Due