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Home/Diagnosis/ICD-10 Coding for Healthcare-Associated Pneumonia

ICD-10 Coding for Healthcare-Associated Pneumonia

J18.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for healthcare-associated pneumonia includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
HAP
Nosocomial Pneumonia
hcap
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Key Information: ICD-10 Coding for Healthcare-Associated Pneumonia

Essential facts and insights about ICD-10 Coding for Healthcare-Associated Pneumonia

Use ICD-10 code J18.9 for pneumonia, unspecified organism, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pneumonia, unspecified organism

Billable Code
J18.9
Billable

Diagnostic Criteria

clinical:
  • • Symptoms develop 48 hours or more after admission.

Applicable To

  • • Pneumonia NOS

Important Notes

  • • Ensure documentation specifies the healthcare setting and timing of onset.
Ancillary Codes

Additional codes that may be used with this diagnosis

Y95

Nosocomial condition

Use to indicate the pneumonia was acquired in a healthcare setting.

Frequently Asked Questions

What is the ICD-10 code for healthcare-associated pneumonia?

The ICD-10 code for healthcare-associated pneumonia is J18.9, paired with Y95 to indicate a nosocomial condition.

How do you code pneumonia acquired in a hospital?

Use J18.9 for unspecified pneumonia and Y95 to denote it as hospital-acquired. Specify the pathogen if known.

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