CQW Panacea-re-brand-rev3

Respiratory

For the Week of March 23, 2015

Question:

Does ICD-10 provide anything new for a diagnosis of pneumonia?

Answer:

Something new in ICD-10-CM is the ability to identify a condition as nosocomial (Y95). The Coding Clinic for ICD-10-CM/PCS published in 2013 indicates that it is appropriate to add Y95 for a documented healthcare acquired condition. There is a trend in the documentation of “healthcare acquired pneumonia,” so the assigned codes would be the appropriate pneumonia code (e.g., J18.9) plus Y95. In the same issue of Coding Clinic, there is an entry noting that hemoptysis with pneumonia should be coded as R04.2 with the appropriate pneumonia code. Hemoptysis is not routinely present with pneumonia.

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