Awareness : OBC Tips

Billing Acute Respiratory Failure (ARF) As A Primary Diagnosis

If Acute Respiratory Failure (ARF) is the reason for the patient’s admission to the hospital, then you may bill the appropriate ICD-10 code for ARF, as the primary diagnosis. If the ARF occurs at the time of admission or even after the admission and there is another acute condition such as, myocardial infarction, then the acute respiratory failure diagnosis would be billed as the secondary diagnosis. If both acute conditions are equally responsible for the patient being admitted, then check any specific guidelines that could help you hone in on the primary diagnosis. If the documentation is not precise and both had to do with the patient’s admission to the hospital, then you would need to query the physician for clarification.