VAP - Ventilator Associated Pneumonia: Difference between revisions

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'''Ventilator Associated Pneumonia''' is coded as dx ???
{{PreICD10 dx | NewDxArticle = Pneumonia, ventilator-associated (VAP)}}
{{DX tag | Infection | Medical Problem| [[:Category: Pneumonia | Pneumonia ]]| PNEUMONIA-VAP (ventilator acq'd) | 3900-Ventilator Associated Pneumonia | No | 0 |'''Critical Care and Medicine''' | Currently Collected | July 1, 2006 | |}}


== When to code VAP ==
See criteria in [[Pneumonia, ventilator-associated (VAP)]].


== When not to code VAP ==
== See Also ==
* [[QA Infection]] for info common to the [[QA Infection CLI]] and the [[QA Infection VAP]] project
* alternate diagnoses [[:Category:Pneumonia]]




== Clarification of coding VAP when moving patients between units in the city ==
[[Category:Pneumonia (old)]]
 
[[Category:QAInfection]]
When coding VAP's they are coded as "complication" when they occur at a specific center.  However, when these patients are transferred to other centers and the VAP is still being treated, then the VAP should be coded as part of the admitting diagnosis. 
When Julie looks at VAP rates in ICU's she only looks for the VAP code in the complication slots.  The site where the patient had the VAP occur in complication codes is the site that is given the credit.  A unit where a patient has a VAP in the admitting diagnosis is not included in stats for VAP rates.
When a VAP appears in the admission code slots, Julie tracks back to where patient came from and makes sure that the ICU prior to the transfer, coded the VAP in their complications, if not, you will get a query to audit the diagnosis.
 
== Things to do before de-stubbing ==
* see dicussion page for a required clarification
* fill in when and when not to sections...
 
{{Discussion}}
== Discussion ==
* If a patient has a VAP in the ICU and is then transferred to the ward, should the ward code the vap in the admit diagnosis also? I had been talking to the medicine data collectors about this issue and they said they were told not to code it as a HAP but as a HAP.
**When a VAP that had been acquired in ICU is not resolved when a patient is transferred to a Medicine ward, and it is still being treated on the Medicine ward then VAP '''should be''' an '''admitting diagnosis''' code.  If VAP was resolved in the ICU before the patient was sent to the ward, then don't include in your diagnosis codes. 
**When the Statistician links admissions in the database between ICU'a & medicine wards in the city, those patient that have VAP in admitting diagnosis are excluded from complication statistics. The patient encounter that had the VAP coded in the '''acquired diagnosis''' slot is the unit that is given credit for the '''complication''' occuring in that unit.  [[User:TOstryzniuk|TOstryzniuk]] 14:10, 16 June 2008 (CDT)
 
{{stub}}
[[Category:Diagnosis Coding]]

Latest revision as of 21:14, 30 December 2018


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Pneumonia, ventilator-associated (VAP)

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Infection (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Pneumonia
Sub Diagnosis: PNEUMONIA-VAP (ventilator acq'd)
Diagnosis Code: 3900-Ventilator Associated Pneumonia
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: Critical Care and Medicine
Status: Currently Collected
Start Date: July 1, 2006

See criteria in Pneumonia, ventilator-associated (VAP).

See Also

Retrieved from "https://ccmdb.kuality.ca/index.php?title=VAP_-_Ventilator_Associated_Pneumonia&oldid=131193"