Aspiration (early presentation, documented aspiration): Difference between revisions
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[[59 - Aspiration (early presentation, documented aspiration)]] | [[59 - Aspiration (early presentation, documented aspiration)]] | ||
This is the article for "aspiration" '''on the pathogen list''' ([[UPL]]). It should only be used in conjunction with [[HAP]] and [[CAP]]. | |||
*3659 - [[Pneumonia Etiology not clear]] - aspiration (not sure where acquired) | |||
*3759 - [[CAP-Community Acquired Pneumonia]] - aspiration which was community acquired | |||
*3859 - [[HAP-Hospital Acquired Pneumonia]] - aspiration which was hospital acquired | |||
Dr. Garland would like to see the | == using [[Pneumonitis 2nd Chemical Aspiration]] instead == | ||
**Dr Garland suggested using | *Dr. Garland would like to see the [[Pneumonitis 2nd Chemical Aspiration]] code used instead of the aspiration subcode in the pathogen section. | ||
**Dr Garland suggested using [[Pneumonitis 2nd Chemical Aspiration]] 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 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) | |||
** 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 | ** 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 | ||
**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) | ***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) | ||
**** This article is about "aspiration" as a pathogen entry required for infections. Are we really saying that it should not be available on the pathogen list at all since [[Pneumonitis 2nd Chemical Aspiration]] should be coded instead in those circumstances? Or do we still want the pneumonia codes to be used because we want to track "something"? Putting on task discussion list. Ttenbergen 10:01, 2016 October 13 (CDT) {{discuss@task}} | |||
[[Category: UPL]] | [[Category: UPL]] | ||
[[Category: non pathogen subcodes]] | [[Category: non pathogen subcodes]] | ||
Revision as of 09:01, 2016 October 13
59 - Aspiration (early presentation, documented aspiration) This is the article for "aspiration" on the pathogen list (UPL). It should only be used in conjunction with HAP and CAP.
- 3659 - Pneumonia Etiology not clear - aspiration (not sure where acquired)
- 3759 - CAP-Community Acquired Pneumonia - aspiration which was community acquired
- 3859 - HAP-Hospital Acquired Pneumonia - aspiration which was hospital acquired
using Pneumonitis 2nd Chemical Aspiration instead
- Dr. Garland would like to see the Pneumonitis 2nd Chemical Aspiration code used instead of the aspiration subcode in the pathogen section.
- Dr Garland suggested using Pneumonitis 2nd Chemical Aspiration 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 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. --LKolesar 08:29, 2013 March 5 (EST)
- 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
- 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. --LKolesar 08:47, 2013 March 7 (EST)
- This article is about "aspiration" as a pathogen entry required for infections. Are we really saying that it should not be available on the pathogen list at all since Pneumonitis 2nd Chemical Aspiration should be coded instead in those circumstances? Or do we still want the pneumonia codes to be used because we want to track "something"? Putting on task discussion list. Ttenbergen 10:01, 2016 October 13 (CDT) Template:Discuss@task
- 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. --LKolesar 08:47, 2013 March 7 (EST)