View source for Aspiration (early presentation, documented aspiration)

[[59 - Aspiration (early presentation, documented aspiration)]]
This is the article for "aspiration" '''on the pathogen list''' ([[UPL]]). It should only be used in conjunction with [[HAP]] and [[CAP]].

*3659 - [[Pneumonia Etiology not clear]] - aspiration (not sure where acquired)
*3759 - [[CAP-Community Acquired Pneumonia]] - aspiration which was community acquired 
*3859 - [[HAP-Hospital Acquired Pneumonia]] - aspiration which was hospital acquired 

== using [[Pneumonitis 2nd Chemical Aspiration]] instead ==
*Dr. Garland would like to see the [[Pneumonitis 2nd Chemical Aspiration]] code used instead of the aspiration subcode in the pathogen section.
**Dr Garland suggested using [[Pneumonitis 2nd Chemical Aspiration]] more often than we currently do. He said that if the cultures come back positive within 48 hours after admission, it would be coded as a CAP and if after 48 hours, it would be coded as a HAP, but in any event you could leave the chemical aspiration code in place.  (If intubated for at least 48 hours it could also be a VAP if all other criteria are met.) Let me know if this helps to clarify this area which is sometimes a bit confusing. --[[User:LKolesar|LKolesar]] 08:29, 2013 March 5 (EST)
** HI Laura, I'd like some clarification.  If a pt. aspirates on food or drink at home/hospital Dr. Garland would like us to use the "pneumonitis 2nd" code plus the CAP/HAP? JK
***Judy, if a pt aspirates use the pneumonitis 2nd aspiration code.  The CAP and HAP codes are only used '''if a pathogen is isolated''', or if the doctors call it a pneumonia and start antibiotics.  Dr Garland said that most aspirations do not cause an infection (pneumonia) when this has been researched. (see guidelines for [[CAP]] and [[HAP]]).  This way we still capture the aspiration even if a pneumonia does not develop.  --[[User:LKolesar|LKolesar]] 08:47, 2013 March 7 (EST)

== should this be eliminated then? ==
{{discuss@task}}
* This article is about "aspiration" as a pathogen entry required for infections. Are we really saying that it should not be available on the pathogen list at all since [[Pneumonitis 2nd Chemical Aspiration]] should be coded instead in those circumstances? Or do we still want the pneumonia codes to be used because we want to track "something"? Putting on task discussion list. Ttenbergen 10:01, 2016 October 13 (CDT) 
** as of 11:57, 2017 February 7 (CST) the code is still in use. Ttenbergen 11:57, 2017 February 7 (CST)
*** discussed at task meeting. Allan Garland will review ICD10 to see how this would best translate, will review at next task meeting. Ttenbergen 16:45, 2017 March 2 (CST)
{{ICD10}}
**** Agreed at meeting: eliminate pathogen subcode, instruct to use [[Pneumonitis 2nd Chemical Aspiration]], code pathogen negative if really treated and diagnosed as pneumonia.  Ttenbergen 11:27, 2017 April 3 (CDT)
{{Discussion}}
So if a patient is diagnosed with aspiration pneumonia(culture negative or positive) do we need to use both codes? ie CAP and pneumonitis 2nd to chemical aspiration?


[[Category: UPL]]
[[Category: non pathogen subcodes]]