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Home/Diagnosis/ICD-10 Coding for Hospital-Acquired Pneumonia

ICD-10 Coding for Hospital-Acquired Pneumonia

Y95
J18.9

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

Also Known as:
Nosocomial Pneumonia
HAP
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Key Information: ICD-10 Coding for Hospital-Acquired Pneumonia

Essential facts and insights about ICD-10 Coding for Hospital-Acquired Pneumonia

Use ICD-10 code Y95 for nosocomial condition, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Nosocomial condition

Billable Code
Y95
Billable

Diagnostic Criteria

clinical:
  • • Condition onset >48 hours after admission

Applicable To

  • • Hospital-acquired conditions

Important Notes

  • • Always sequence Y95 first when coding for hospital-acquired conditions.

Pneumonia, unspecified organism

Billable Code
J18.9
Billable

Diagnostic Criteria

clinical:
  • • Clinical signs of pneumonia with no specific organism identified

Applicable To

  • • Pneumonia NOS

Important Notes

  • • Ensure documentation supports the lack of a specific pathogen identification.
Ancillary Codes

Additional codes that may be used with this diagnosis

B96.2

Pseudomonas as the cause of diseases classified elsewhere

Use when Pseudomonas is identified as the pathogen.

Frequently Asked Questions

What is the ICD-10 code for hospital-acquired pneumonia?

The ICD-10 code for hospital-acquired pneumonia is Y95, indicating a nosocomial condition, often used with J18.9 for unspecified pneumonia.

How is hospital-acquired pneumonia documented?

Document the onset time post-admission, clinical signs, imaging results, and any identified pathogens to accurately code hospital-acquired pneumonia.

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