Acute pneumococcal pneumonia with subsequent development of acute respiratory

Acute pneumococcal pneumonia with subsequent

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Acute pneumococcal pneumonia with subsequent development of acute respiratory failure J13 Pneumonia due to Streptococcus pneumoniae J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia Explanation : Acute respiratory failure may be listed as a secondary diagnosis if it occurs after admission, or if it is present on admission but does not meet the definition of principal diagnosis. Acute pneumococcal pneumonia and acute respiratory failure, both present on admission J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia J13 Pneumonia due to Streptococcus pneumoniae Explanation : When a patient is admitted with respiratory failure and another acute condition, such as a bacterial pneumonia, the principal diagnosis is not the same in every situation. This applies whether the other acute condition is a respiratory or nonrespiratory condition. The principal diagnosis depends on the circumstances of admission.
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Guidelines and Examples Chapter 10. Diseases of the Respiratory System ICD-10-CM 2017 Chapter 10. Diseases of the Respiratory System 452 ICD-10-CM 2017 If the provider records “suspected” or “possible” or “probable” avian influenza, or novel influenza, or other identified influenza, then the appropriate influenza code from category J11, Influenza due to unidentified influenza virus, should be assigned. A code from category J09, Influenza due to certain identified influenza viruses, should not be assigned nor should a code from category J10, Influenza due to other identified influenza virus. d. Ventilator associated pneumonia 1) Documentation of ventilator associated pneumonia As with all procedural or postprocedural complications, code assignment is based on the provider’s documentation of the relationship between the condition and the procedure. Code J95.851, Ventilator associated pneumonia, should be assigned only when the provider has documented ventilator associated pneumonia (VAP). An additional code to identify the organism (e.g., Pseudomonas aeruginosa, code B96.5) should also be assigned. Do not assign an additional code from categories J12-J18 to identify the type of pneumonia. Code J95.851 should not be assigned for cases where the patient has pneumonia and is on a mechanical ventilator and the provider has not specifically stated that the pneumonia is ventilator-associated pneumonia. If the documentation is unclear as to whether the patient has a pneumonia that is a complication attributable to the mechanical ventilator, query the provider. 2) Ventilator associated pneumonia develops after admission A patient may be admitted with one type of pneumonia (e.g., code J13, Pneumonia due to Streptococcus pneumonia) and subsequently develop VAP. In this instance, the principal diagnosis would be the appropriate code from categories J12-J18 for the pneumonia diagnosed at the time of admission. Code J95.851, Ventilator associated pneumonia, would be assigned as an additional diagnosis when the provider has also documented the presence of ventilator associated pneumonia.
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