Aspiration pneumonitis: Difference between revisions

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{{ICD10 dx

|ICD10 Code=J69.0

}}

{{ICD10 transition status

| OldDxArticle = Other respiratory problems, Pneumonitis 2nd Chemical Aspiration,

| OldDxArticle = Other respiratory problems; Pneumonitis 2nd Chemical Aspiration

| CurrentStatus = reconciled

| InitialEditorAssigned = Lori Lovell

}}

~~{{ICD10 dx~~

~~| MinimumCombinedCodes =~~

~~| ICD10 Code=J69.0~~

~~| BugRequired=~~

}}

~~{{ICD10 category|Respiratory}}{{ICD10 category|Pneumonia}}~~

~~{{DiscussAllan | Q Translation~~

== Additional Info ==

* ~~in our old DX~~ code ~~we had non pathogen in our old pathogen list: Aspiration (subcode 59). This~~ code ~~was associated~~ with ~~codes: 3600~~, ~~3700~~, ~~3800 & 3900. How~~ to ~~we reconcile to ICD10. Not sure how many in database at~~ this ~~time~~. ~~Not done in IDC10 translation table~~.

*if a patient aspirates due to decreased LOC use this code

** This dx code is not an infection~~, so we don't need to add a pathogen for it~~ (~~ie program won't require~~ it, and ~~data will be complete without~~ it~~. So this~~ is ~~just one~~ of those ~~cases where we used~~ to ~~do this~~ in ~~strange ways but no longer will. We should make sure we have~~ the ~~appropriate infectious counterpart linked below~~. ~~Chances are~~ the ~~list~~ of ~~pneumonias should do~~ the ~~trick~~, ~~but should confirm~~. ~~Ttenbergen 21:34, 2018 April 24 (CDT)~~}}

*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.

~~== Additional Info ==~~

*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 '''link/combine''' this code to the code for that pneumonia in addition.

== Alternate ICD10s to consider coding instead or in addition ==

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== Related CCI Codes ==

== Related Articles ==

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+{{ICD10 dx
+|ICD10 Code=J69.0
+}}
+{{ICD10 category|Respiratory}}
+{{ICD10 category|Pneumonia}}
 {{ICD10 transition status
-| OldDxArticle = Other respiratory problems, Pneumonitis 2nd Chemical Aspiration,
+| OldDxArticle = Other respiratory problems; Pneumonitis 2nd Chemical Aspiration
 | CurrentStatus = reconciled
 | InitialEditorAssigned = Lori Lovell
 }}
-{{ICD10 dx
-| MinimumCombinedCodes =
-| ICD10 Code=J69.0
-| BugRequired=
-}}
-{{ICD10 category|Respiratory}}{{ICD10 category|Pneumonia}}
-{{DiscussAllan | Q Translation
+== Additional Info ==
-* in our old DX code we had non pathogen in our old pathogen list:  Aspiration (subcode 59). This code was associated with codes:  3600, 3700, 3800 & 3900. How to we reconcile to ICD10.  Not sure how many in database at this time. Not done in IDC10 translation table.
+*if a patient aspirates due to decreased LOC use this code
-** This dx code is not an infection, so we don't need to add a pathogen for it (ie program won't require it, and data will be complete without it. So this is just one of those cases where we used to do this in strange ways but no longer will. We should make sure we have the appropriate infectious counterpart linked below. Chances are the list of pneumonias should do the trick, but should confirm. Ttenbergen 21:34, 2018 April 24 (CDT)}}
+*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}}
-== Additional Info ==
+{{ICD10 Guideline Inhalation}}
-*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 '''link/combine''' this code to the code for that pneumonia in addition.
 == Alternate ICD10s to consider coding instead or in addition ==
@@ Line 28: / Line 32: @@
 == Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
 {{EndPlaceHolder}}