CAP-Community Acquired Pneumonia: Difference between revisions
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*When patients come in with COPD exacerbation and are put on oral antibiotics, do other collectors in city code as admitted with a CAP along with the COPD? | *When patients come in with COPD exacerbation and are put on oral antibiotics, do other collectors in city code as admitted with a CAP along with the COPD? | ||
**at HSC on wards, it is not the norm to see the written DX of CAP along with COPD exacerbation, yet or patient is prescribed antibiotics. Pat codes a CAP if on IV antibiotic but if prescribe oral antibiotics and not written DX of CAP, then she will not code as CAP. Pat says her interpretation is that it could it upper airway infection or even bronchitis, but Dr. has not committed to either DX. What do others do? Thank you for feedback-[[User:TOstryzniuk|Trish Ostryzniuk]] 14:25, 2012 April 13 (CDT) & [[User: PStein|Pat Stein]] | **at HSC on wards, it is not the norm to see the written DX of CAP along with COPD exacerbation, yet or patient is prescribed antibiotics. Pat codes a CAP if on IV antibiotic but if prescribe oral antibiotics and not written DX of CAP, then she will not code as CAP. Pat says her interpretation is that it could it upper airway infection or even bronchitis, but Dr. has not committed to either DX. What do others do? Thank you for feedback-[[User:TOstryzniuk|Trish Ostryzniuk]] 14:25, 2012 April 13 (CDT) & [[User: PStein|Pat Stein]] | ||
*If patient is treated with antibiotics I code both COPD exascerbation and CAP because quite often their CXR cannot rule out an underlying pneumonia so the physicians will treat on spec (as they often chart it this way in the IPN).--[[User:CMarks|CMarks]] 14:50, 2012 April 16 (CDT) | |||
==Also see== | ==Also see== | ||
Revision as of 14:50, 16 April 2012
Legacy Content
This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Aspiration pneumonitis, Pneumonia, bacterial, SARS (severe acute respiratory syndrome)Click Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Infection (old) |
|
Type: |
[[:Category: Medical Problem (old)]][[Category: Medical Problem (old)]] |
| Main Diagnosis: | Pneumonia |
| Sub Diagnosis: | PNEUMONIA-CAP |
| Diagnosis Code: | [[DxCode:: 3700 - CAP-Community Acquired Pneumonia ]] |
| Comorbid Diagnosis: | No |
| Charlson Comorbid coding (pre ICD10): | 0 |
| Program: | CC & Med |
| Status: | Currently Collected
|
A CAP is not allowed in acquired/complications. While in hospital a patient can acquire a VAP if ventilated or a HAP but not CAP. Rule added in version ver 2012-04-12.
Question
- When patients come in with COPD exacerbation and are put on oral antibiotics, do other collectors in city code as admitted with a CAP along with the COPD?
- at HSC on wards, it is not the norm to see the written DX of CAP along with COPD exacerbation, yet or patient is prescribed antibiotics. Pat codes a CAP if on IV antibiotic but if prescribe oral antibiotics and not written DX of CAP, then she will not code as CAP. Pat says her interpretation is that it could it upper airway infection or even bronchitis, but Dr. has not committed to either DX. What do others do? Thank you for feedback-Trish Ostryzniuk 14:25, 2012 April 13 (CDT) & Pat Stein
- If patient is treated with antibiotics I code both COPD exascerbation and CAP because quite often their CXR cannot rule out an underlying pneumonia so the physicians will treat on spec (as they often chart it this way in the IPN).--CMarks 14:50, 2012 April 16 (CDT)
Also see
- Pneumonia Etiology not clear
- HAP Hospital acquired pneumonia
- VAP Ventilator acquired/associated pneumonia