Edit ICD10 dx: Aspiration pneumonitis

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{{ICD10 transition status | OldDxArticle = Other respiratory problems; Pneumonitis 2nd Chemical Aspiration | CurrentStatus = reconciled | InitialEditorAssigned = Lori Lovell }} == Additional Info == *if a patient aspirates due to decreased LOC use this code *To code aspiration of tube feed due to improper feeding tube placement, use this code with [[Iatrogenic, complication of medical or surgical care NOS]] *if a patient aspirates during a procedure such as intubation use this code and [[Failed/difficult intubation, or complication of intubation]] and [[Iatrogenic problem NOS, related to a surgery or procedure, NOS]] *Despite its name, '''this entity is NOT an infection'''. It is fundamentally a chemical pneumonitis, which CAN become secondarily superinfected. *If an actual lung infection (pneumonia) co-exists with it, you must use this code and a [[:category:pneumonia]] code as [[Combined ICD10 codes]]. *The reason people often (incorrectly) call it a "aspiration pneumonia" is that a chemical or food aspiration (noninfectious) often has ALL 3 of the cardinal signs of pneumonia: new infiltrate, fever, leukocytosis -- but in the case of aspiration, those manifestations are actually due to chemical irritation (e.g. the hydrochloric acid in the stomach) of the lung. **Indeed, though it is very often done, the use of antibiotics to "treat" an aspiration in the early phases when it's almost certainly NOT infected, is not recommended. {{ICD10 Secondary infections of aspiration}} {{ICD10 Guideline Inhalation}} == Alternate ICD10s to consider coding instead or in addition == {{ListICD10Category | categoryName = Pneumonia}} *[[Hypersensitivity pneumonitis (extrinsic allergic alveoliltis), NOS]] *[[Radiation pneumonitis (acute or chronic)]] == Candidate [[Combined ICD10 codes]] == *Code associated pneumonia, if it's superimposed on the aspiration. == Related CCI Codes == {{Data Integrity Check List}} == Related Articles == {{Related Articles}} {{ICD10 footer}} {{EndPlaceHolder}}

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