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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; Ask the Editor

Bacterial Pneumonia, Influenza A, & Acute Exacerbation of Chronic Obstructive Pulmonary Disease

The patient was admitted with wheezing and shortness of breath. The provider’s diagnostic statement listed, “Bacterial pneumonia on top of influenza A, exacerbation of chronic obstructive pulmonary disease (COPD).” Would a combination code be assigned for the influenza with pneumonia and COPD and pneumonia; or should each condition be coded separately?  Does the fact that a combination code is assigned for COPD with acute lower respiratory infection affect assigning an additional code for influenza with pneumonia? How would this case be coded? ...

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