AHA Coding Clinic® for ICD-9 - 1992 First Quarter; Corrections

Pneumococcal Pneumonia and Pneumococcal Septicemia

In the First Quarter 1991 Coding Clinic, page 13, there is a question and answer regarding the coding of pneumococcal pneumonia and pneumococcal septicemia occurring in the same patient. At that time, the advice given was to assign only code 481, Pneumococcal pneumonia, as the index directed. This advice has changed as of October 1, 1991, with the deletion of the following line: Septicemia pneumococcal with pneumonia (deleted) Effective October 1, 1991, therefore, both conditions should be coded when both are present. Sequencing will depend on the circumstances of the admission. Septicemia occurring with pneumonia is a true septic...

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