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Home/Diagnosis/ICD-10 Coding for Nosocomial Pneumonia

ICD-10 Coding for Nosocomial Pneumonia

J15.212
J18.9

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

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

Essential facts and insights about ICD-10 Coding for Nosocomial Pneumonia

Use ICD-10 code J15.212 for pneumonia due to methicillin resistant staphylococcus aureus, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pneumonia due to Methicillin resistant Staphylococcus aureus

Billable Code
J15.212
Billable

Diagnostic Criteria

  • • Confirmed MRSA culture with clinical signs of pneumonia

Applicable To

  • • MRSA pneumonia

Important Notes

  • • Ensure MRSA is confirmed via culture before coding.

Pneumonia, unspecified organism

Billable Code
J18.9
Billable

Diagnostic Criteria

  • • Clinical signs of pneumonia without identified organism

Applicable To

  • • Pneumonia NOS

Important Notes

  • • Ensure documentation supports the use of an unspecified code.
Ancillary Codes

Additional codes that may be used with this diagnosis

R65.1

Systemic inflammatory response syndrome (SIRS) of infectious origin without acute organ dysfunction

Use when there is a systemic inflammatory response due to infection.

R89.7

Abnormal microbiological findings in specimens from other organs, systems and tissues

Use when cultures are negative or inconclusive.

Frequently Asked Questions

What is the ICD-10 code for nosocomial pneumonia?

The ICD-10 code for nosocomial pneumonia typically includes Y95 for nosocomial conditions, combined with a specific pneumonia code like J15.212 if the pathogen is identified.

How do you code hospital-acquired pneumonia?

Hospital-acquired pneumonia is coded with Y95 to indicate nosocomial origin, plus a specific pneumonia code based on the identified pathogen, such as J15.212 for MRSA.

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