Community-acquired pneumonia (CAP) in ICD10: Difference between revisions

Latest revision as of 10:32, 30 July 2025

This page contains an ICD10 Coding Guideline for ICD10 collection. See ICD10 coding guidelines for similar pages.

There is no specific ICD10 diagnosis code for CAP. Instead, a pneumonia is a CAP if it doesn't meet the criteria for either a HAP (Hospital-acquired pneumonia (HAP) in ICD10) or VAP (Pneumonia, ventilator-associated (VAP)).

Pneumonia, bacterial (J15)
Pneumonia, fungal/yeast (J17.2)
Pneumonia, viral (J12)
Aspiration pneumonitis (J69.0)
Pneumonia, NOS (J18)
Influenza pneumonia (J11.0): Since this code includes identification of the organism, there is no need for a pathogen be combined with it.
- See Influenza in ICD10 for further info

PLUS

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 There is '''no specific ICD10 diagnosis code for CAP.'''  Instead, a pneumonia is a CAP if it doesn't meet the criteria for either a HAP ([[Hospital-acquired pneumonia (HAP) in ICD10]]) or VAP ([[Pneumonia, ventilator-associated (VAP)]]).
-CAP '''should not be coded as an [[Acquired Diagnosis]]'''.
-{{Discuss | who=All | What does that even mean, since we don't have a code for CAP? }}
 ==ICD10s to consider coding to represent a CAP==
-*[[Pneumonia, bacterial]]
+*{{ICD10WithCode|Pneumonia, bacterial}}
-*[[Pneumonia, fungal/yeast]]
+*{{ICD10WithCode|Pneumonia, fungal/yeast}}
-*[[Pneumonia, viral]]
+*{{ICD10WithCode|Pneumonia, viral}}
-*[[Aspiration pneumonitis]]
+*{{ICD10WithCode|Aspiration pneumonitis}}
-*[[Pneumonia, NOS]]
+*{{ICD10WithCode|Pneumonia, NOS}}
-*[[Influenza pneumonia]]: Since this code includes identification of the organism, there is no need for a pathogen be combined with it.
+*{{ICD10WithCode|Influenza pneumonia}}: Since this code includes identification of the organism, there is no need for a pathogen be combined with it.
 **See [[Influenza in ICD10]] for further info
 PLUS
@@ Line 29: / Line 26: @@
-[[Category: Pneumonia]]
+[[Category:Pneumonia]]
-[[Category: Respiratory]]
+[[Category:Respiratory]]