CAP-Community Acquired Pneumonia: Difference between revisions

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{{DX tag | Infection | [[:Category: Medical Problem | Medical Problem]] | [[:Category: Pneumonia | Pneumonia]] | PNEUMONIA-CAP | [[3700 - CAP-Community Acquired Pneumonia]] | No | 0 |CC & Med |  Currently Collected | | |}}
{{DX tag | Infection | [[:Category: Medical Problem | Medical Problem]] | [[:Category: Pneumonia | Pneumonia]] | PNEUMONIA-CAP | [[3700 - CAP-Community Acquired Pneumonia]] | No | 0 |CC & Med |  Currently Collected | | |}}
Note: Aspiration is not the important thing. Dr. Kumar. [[User:TOstryzniuk|Trish Ostryzniuk]] 17:04, 2012 May 15 (CDT)  
*In the setting of a known aspiration event:
*Admit DX: CAP-Aspiration 
*Use [[pneumonitis 2nd chemical aspiration]] (3019) instead of utilizing the aspiration subcode located in the pathogen section. (per Dr.Garland)
**if clear aspiration AND no pathogen was isolated from a culture drawn within 48 hours or less of admission. (culture will usually say normal flora or no organism)
*code CAP-with organism in the admit diagnosis section if a pathogen IS isolated from a culture drawn within 48 hour or less of admission.  If this happens you can still leave the pneumonitis 2nd chemical aspiration if there is room for both.
*Admit DX CHANGE TO: CAP-with organism: 
*Note a CAP can be coded with or without an aspiration.
**if a pathogen IS isolated from a culture drawn within 48 hour or less of admission.   


If pathogen IS isolated from a culture drawn greater than 48 hours AFTER admission, code as a [[HAP]] with organism. Note: a sterile aspiration can become superinfected while in hospital.
If pathogen IS isolated from a culture drawn greater than 48 hours AFTER admission, code as a [[HAP]] with organism which is coded in the complication section.  
 
**Note: a sterile aspiration can become superinfected while in hospital.  
*[[User:TOstryzniuk|Trish Ostryzniuk]] 16:35, 2012 May 15 (CDT) as per Dr. Kumar reply on this date.


=={{CCMDB Data Integrity Checks}}==
=={{CCMDB Data Integrity Checks}}==
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.
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.


=={{G|Guideline}}==
{{Discussion}}
Do the guidelines, considered together with diagnosis criteria for pneumonia, not address this? IE x-rays with infiltrates etc. If so, can we delete the discussion below about COPD exacerbation? Ttenbergen 01:10, 2012 November 2 (EDT)
===CAP vs COPD Exacerbation===
*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]]
*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)
*I only code a CAP if the doctors are calling it a pneumonia. If anyone wants to research CAP's they should know that all COPD exacerbations are potentially a pneumonia.--[[User:LKolesar|LKolesar]] 08:33, 2012 April 17 (CDT)
*At the Vic, we will code a CAP on a COPD patient if the patient is on antibiotics AND a chest X-ray is showing infiltrates and indicates that a CAP is likely. Judy


==Also see==
==Also see==

Revision as of 08:40, 6 March 2013

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:Pneumonia, bacterial, SARS (severe acute respiratory syndrome), Aspiration pneumonitis

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: 3700 - CAP-Community Acquired Pneumonia
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: CC & Med
Status: Currently Collected


  • In the setting of a known aspiration event:
  • Use pneumonitis 2nd chemical aspiration (3019) instead of utilizing the aspiration subcode located in the pathogen section. (per Dr.Garland)
  • code CAP-with organism in the admit diagnosis section if a pathogen IS isolated from a culture drawn within 48 hour or less of admission. If this happens you can still leave the pneumonitis 2nd chemical aspiration if there is room for both.
  • Note a CAP can be coded with or without an aspiration.

If pathogen IS isolated from a culture drawn greater than 48 hours AFTER admission, code as a HAP with organism which is coded in the complication section.

    • Note: a sterile aspiration can become superinfected while in hospital.

Template:CCMDB Data Integrity Checks

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.


Also see

Category: Pneumonia

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