Pneumonia organisms
Anybody out there? Phoning a friend for the million $! I am only 7 mos. in this field and am a "lone ranger" without you guys.
Hospitalist documented Pneumonia, bacterial organism, suspect gram negative and gram positive. Treated with Vancomycin 750 mg IV Tues, Thurs, Sat IV, Zosyn 2.25 mg IV q 6 hrs (ESRD on HD).
Pt fits in category of suspecting Gm negative Pneumonia in absence of positive culture- 1. dialysis patient 2. Inability to produce adequate sputum sample 3. Prescribed extended spectrum Penicillin (Zosyn).
Can code DRG 177 be used when suspected negative and positive organisms? Or do you have to stick with DRG 693?
Thank you in advance.
Hospitalist documented Pneumonia, bacterial organism, suspect gram negative and gram positive. Treated with Vancomycin 750 mg IV Tues, Thurs, Sat IV, Zosyn 2.25 mg IV q 6 hrs (ESRD on HD).
Pt fits in category of suspecting Gm negative Pneumonia in absence of positive culture- 1. dialysis patient 2. Inability to produce adequate sputum sample 3. Prescribed extended spectrum Penicillin (Zosyn).
Can code DRG 177 be used when suspected negative and positive organisms? Or do you have to stick with DRG 693?
Thank you in advance.
Comments
Juli
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You have suspected (probable) and adequate treatment (Vanc and Zosyn) for DRG 177. Yes, I would take this to 177.
Juli
jbovard@regionalhealth.com
Juli Bovard RN CCDS
Certified Clinical Documentation Specialist
Clinical Effectiveness/Clinical Quality
Rapid City Regional Hospital
755-8426 (work)
786-2677 (cell)
"No Limit to Better......"
Thank you so much.