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| [[59 - Aspiration (early presentation, documented aspiration)]]
| | {{PreICD10 dx | NewDxArticle = Aspiration pneumonitis}} |
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| **3659 - Pneumonia - aspiration (not sure where acquired)
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| **3759 - Pneumonia - aspiration which was community acquire [[CAP]]
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| **3859 - Pneumonia - aspiration which was hospital acquired [[HAP]]
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| * [[UPL]] universal pathogen subcode 59, should only be used in conjunction with [[HAP]] and [[CAP]]
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| Dr. Garland would like to see the chemical aspiration code used instead of the aspiration subcode in the pathogen section.
| | Legacy - code as [[Pneumonitis 2nd Chemical Aspiration]]. |
| **Dr Garland suggested using pneumonitis 2nd Chemical Aspiration (3019) more often than we currently do. He said that if the cultures come back positive within 48 hours after admission, it would be coded as a CAP and if after 48 hours, it would be coded as a HAP, but in any event you could leave the chemical aspiration code in place if you have room in the diagnosis section. (If intubated for at least 48 hours it could also be a VAP if all other criteria are met.) Let me know if this helps to clarify this area which is sometimes a bit confusing. --[[User:LKolesar|LKolesar]] 08:29, 2013 March 5 (EST)
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| ** HI Laura, I'd like some clarification. If a pt. aspirates on food or drink at home/hospital Dr. Garland would like us to use the "pneumonitis 2nd" code plus the CAP/HAP? JK
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| **Judy, if a pt aspirates use the pneumonitis 2nd aspiration code. The CAP and HAP codes are only used if a pathogen is isolated, or if the doctors call it a pneumonia and start antibiotics. Dr Garland said that most aspirations do not cause an infection (pneumonia) when this has been researched. (see guidelines for [[CAP]] and [[HAP]]) . This way we still capture the aspiration even if a pneumonia does not develop. --[[User:LKolesar|LKolesar]] 08:47, 2013 March 7 (EST)
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| Also see: [[Pneumonitis 2nd Chemical Aspiration]]
| | If a [[:Category:Pneumonia]] follows, code the pathogen for the pneumonia as usual, possibly [[No Culture Sent or Resulted]] or [[Negative Culture]]. |
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| [[Category: UPL]] | | |
| [[Category: non pathogen subcodes]] | | |
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| | [[Category: UPL (old)]] |
| | [[Category: non pathogen subcodes (old)]] |