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

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→Attribution of the HAP to a Hospital Location: the rest was dealt with long ago, we made that template for iatrogenic infections.
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== 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) '''[[Nosocomial infection, 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:
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== 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===
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{{Related Articles}}
{{Related Articles}}


[[Category: Pneumonia]]
[[Category:Pneumonia]]
[[Category: Respiratory]]
[[Category:Respiratory]]
[[Category: Iatrogenic]]
[[Category:Iatrogenic]]
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