CCMDB Wiki

Hospital-acquired pneumonia (HAP) in ICD10: Difference between revisions

← Older edit
→RE:A Patient with CAP on Admission: cleaned out the discussion tags and tried to break it into different concepts, but I don't want to make this MORE confusing by applying my IT skills to it :-) , so could someone else have a go at cleaning this up?
m Text replacement - "[[Category: " to "[[Category:"
 
(12 intermediate revisions by 5 users not shown)
Line 2: Line 2:


== Coding instructions ==
== Coding instructions ==
*HAP, Hospital-acquired pneumonia, is a category of nosocomial pneumonia that is contracted by a '''non-ventilated''' patient after at least 48 hours of being admitted to a hospital.  
*HAP, Hospital-acquired pneumonia, is a category of nosocomial pneumonia that is contracted by a patient '''after''' at least 48 hours of being admitted to a hospital. In ventilated patients see [[Pneumonia, ventilator-associated (VAP)|Pneumonia, ventilator-associated]] to decide if it is a VAP or a HAP.
*To code HAP, you must [[Combined ICD10 codes | combined coding]] 3 separate ICD10 codes:  
*To code HAP, you must use [[Combined ICD10 codes | combined coding]] of 3 separate ICD10 codes:  
** (1) '''[[Iatrogenic, complication of medical or surgical care NOS]]''' ''PLUS''
** (1) '''[[Nosocomial infection, NOS]]''' ''PLUS''
** (2) One of the codes for SPECIFIC TYPES OF PNEUMONIAS:
** (2) One of the codes for SPECIFIC TYPES OF PNEUMONIAS:
***[[Pneumonia, bacterial]]
***[[Pneumonia, bacterial]]
Line 16: Line 16:


===Attribution of the HAP to a Hospital Location===
===Attribution of the HAP to a Hospital Location===
*The infection is attributed to the location where the patient was on the date the infection became clinically evident -- EXCEPT if all elements of the infection are present within the first 48 hours of arrival, the infection is attributed to the location from which they were transferred.  
*The infection is attributed to the location where the patient was on the date the infection became clinically evident -- EXCEPT if all elements of the infection are present within the first 48 hours of arrival, the infection is attributed to the location from which they were transferred.
{{DA | Iatrogenic
*part of the "iatrogenic" discussion }}


==Alternate ICD10s to consider coding instead or in addition==
==Alternate ICD10s to consider coding instead or in addition==
Line 26: Line 24:
== Additional Info ==
== Additional Info ==
* If there is insufficient criteria for a [[Pneumonia, ventilator-associated (VAP)]] in ventilated patients with positive cultures, the patient may still have HAP.
* If there is insufficient criteria for a [[Pneumonia, ventilator-associated (VAP)]] in ventilated patients with positive cultures, the patient may still have HAP.
* Patients from [[Grace Nursing Home Ward]] - even though this is considered a nursing home type ward, for patients who acquire a pneumonia and meet the HAP criteria '''code HAP'''.


=== Don't need to follow VAP Guidelines for this ===
=== Don't need to follow VAP Guidelines for this ===
Do you need to follow the same guidelines for acceptable sources for cultures like for the VAP cultures?
Do you need to follow the same guidelines for acceptable sources for cultures like for the VAP cultures?
*AG REPLY -- for HAP, no.  Indeed, the main thing that distinguishes a CAP from a HAP is whether the patient has been in a LOCATION that qualifies for it being a HAP.
*AG REPLY -- for HAP, no.  Indeed, the main thing that distinguishes a CAP from a HAP is whether the patient has been in a LOCATION that qualifies for it being a HAP.
{{ICD10 Guideline Pneumonia|}}


===RE:A Patient with CAP on Admission===
===RE:A Patient with CAP on Admission===
Line 53: Line 55:
{{Related Articles}}
{{Related Articles}}


[[Category: Pneumonia]]
[[Category:Pneumonia]]
[[Category: Respiratory]]
[[Category:Respiratory]]
[[Category: Iatrogenic]]
[[Category:Iatrogenic]]
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Hospital-acquired_pneumonia_(HAP)_in_ICD10"