Pneumonia, fungal/yeast: Difference between revisions

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{{ICD10 transition status
{{ICD10 transition status
| OldDxArticle = VAP - Ventilator Associated Pneumonia,
| OldDxArticle = VAP - Ventilator Associated Pneumonia;
CAP-Community Acquired Pneumonia,HAP-Hospital Acquired Pneumonia
CAP-Community Acquired Pneumonia; HAP-Hospital Acquired Pneumonia
| CurrentStatus = reconciled
| CurrentStatus = reconciled
| InitialEditorAssigned = Lori Lovell
| InitialEditorAssigned = Lori Lovell
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| BugRequired= required
| BugRequired= required
}}
}}
{{ICD10 category|Respiratory}} {{ICD10 category|Pneumonia}}{{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}}
{{ICD10 category|Respiratory}}{{ICD10 category|Pneumonia}}{{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}}


== Additional Info ==
== Additional Info ==
*The diagnosis of VAP '''[[Pneumonia, ventilator-associated (VAP)]]''' supercedes this code.
includes: pulmonary aspergillosis (combine with [[Aspergillus]])
*To code fungal hospital-acquired pneumonia, link this code with '''[[Iatrogenic, complication of medical or surgical care NOS]]'''
 
**Without that other code, it represents a CAP.
'''excludes''':  [[Allergic bronchopulmonary aspergillosis (ABPA)]]
*To decide about whether a CAP or HAP has occurred, requires clinical correlation.
**For example, sputum is almost never sterile -- bug will always grow from it.  It's even true that bronchoscopic lower respiratory samples are almost never sterile, which is why quantitative culture is used to interpet them.  THUS, respiratory fluid that grows bugs cannot by itself be used to interpret the presence of pneumonia EXCEPT in the rare cases of bugs that are NEVER pathogens in the respiratory system -- that list is mainly limited to:  TB, Legionella, and Pneumocystis jiroveci.  Thus, a (+) sputum culture can almost never by itself be used to identify the presence of a pneumonia.  Instead, it's a combination of clinical signs such as fever, leukocytosis and new (or presumed new) CXR changes that helps to figure it out. Indeed, one can diagnose CAP or VAP in the absence of a (+)sputum culture in the right situation (e.g. patient has been on antibiotics for some reason prior).


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==
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== Candidate [[Combined ICD10 codes]] ==
== Candidate [[Combined ICD10 codes]] ==
*Add [[Iatrogenic, complication of medical or surgical care NOS]] to make fungal hospital-acquired pneumonia
*Add [[Nosocomial infection, NOS]]
{{ICD10 Guideline Infection}}
 


== Related CCI Codes ==
== Related CCI Codes ==
{{Data Integrity Check List}}


== Related Articles ==
== Related Articles ==
{{Related Articles}}
{{Related Articles}}


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{{ICD10 footer}}
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Latest revision as of 12:02, 2022 September 7

ICD10 Diagnosis
Dx: Pneumonia, fungal/yeast
ICD10 code: J17.2
Pre-ICD10 counterpart: CAP-Community Acquired Pneumonia, HAP-Hospital Acquired Pneumonia, VAP - Ventilator Associated Pneumonia
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: 2019-0: Respiratory Infection
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • J17.2
  • Cargo


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Additional Info

includes: pulmonary aspergillosis (combine with Aspergillus)

excludes: Allergic bronchopulmonary aspergillosis (ABPA)

Alternate ICD10s to consider coding instead or in addition

Pneumonia codes:

Candidate Combined ICD10 codes


Related CCI Codes

Data Integrity Checks (automatic list)

 AppStatus
Query check ICD10 Inf Infection req Pathogen must have oneCCMDB.accdbimplemented
Query Check Inf Pathogens must have Infection requiring pathogen or Potential InfectionCCMDB.accdbimplemented

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