HCPro, JustCoding Inpatient - 2016 Issue 28 (July)

Q&A: Coding and MS-DRG assignment for healthcare-associated pneumonia

July 27th, 2016

Q: Is it appropriate to assign ICD-10-CM code Y95 (nosocomial condition) based on the documentation of healthcare-associated pneumonia (HCAP) or hospital-acquired pneumonia (HAP)? It is appropriate to assign the code for documented healthcare-associated conditions. Should this still be queried for specificity, and should the hospital-acquired condition (i.e., pneumonia) be coded as bacterial, viral, or something else? 

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