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}}~~

== Additional Info ==

*Despite its name, this entity is NOT an infection. It is fundamentally a chemical pneumonitis, which CAN become secondarily superinfected.

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

*If an actual lung infection (pneumonia) co-exists with it, you must use this code and a [[:category:~~penumomia~~]] code as [[Combined ICD10 codes]].

*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.

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*[[Hypersensitivity pneumonitis (extrinsic allergic alveoliltis), NOS]]

*[[Aspiration pneumonitis/pneumonia]]

*[[Radiation pneumonitis (acute or chronic)]]

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== Related CCI Codes ==

== Related Articles ==

@@ Line 1: / Line 1: @@
+{{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}}
 == Additional Info ==
-*Despite its name, this entity is NOT an infection. It is fundamentally a chemical pneumonitis, which CAN become secondarily superinfected.
+*if a patient aspirates due to decreased LOC use this code
-*If an actual lung infection (pneumonia) co-exists with it, you must use this code and a [[:category:penumomia]] code as [[Combined ICD10 codes]].
+*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}}
@@ Line 20: / Line 26: @@
 {{ListICD10Category | categoryName = Pneumonia}}
 *[[Hypersensitivity pneumonitis (extrinsic allergic alveoliltis), NOS]]
-*[[Aspiration pneumonitis/pneumonia]]
 *[[Radiation pneumonitis (acute or chronic)]]
@@ Line 27: / Line 32: @@
 == Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
 {{EndPlaceHolder}}