Community-acquired pneumonia (CAP) in ICD10

This page contains an ICD10 Coding Guideline for ICD10 collection. See ICD10 coding guidelines for similar pages.

There is no specific ICD10 diagnosis code for CAP. Instead, a pneumonia is a CAP if it doesn't meet the criteria for either a HAP (Hospital-acquired pneumonia (HAP) in ICD10) or VAP (Pneumonia, ventilator-associated (VAP)).

ICD10s to consider coding to represent a CAP

• Pneumonia, bacterial
• Pneumonia, fungal/yeast
• Pneumonia, viral
• Aspiration pneumonitis/pneumonia
• Pneumonia, NOS
• Influenza pneumonia: Since this code includes identification of the organism, there is no need for a pathogen be combined with it.
  • If appropriate, you can code this AND Influenza with nonrespiratory manifestations
  • See Influenza in ICD10 for further info

PLUS

• relevant Pathogens, possibly Infectious organism, unknown or an NOS

Alternate ICD10s to consider coding instead or in addition

• Pneumonia, ventilator-associated (VAP)
• Hospital-acquired pneumonia (HAP) in ICD10
• Aspiration pneumonitis/pneumonia
• Pneumonia, NOS
• Influenza pneumonia-See Influenza in ICD10 for further information