Y95-Nosocomial Infection
I have never seen this code used at our facility. I read this Coding Clinic: Healthcare Acquired Condition (see below), and I'm inquiring whether our coders need to include this for HCAP/HAP? If so, what are the quality implications of this? We treat more HCAP here,that patients acquire outside of our facility.
Thank you,
Brittany Lopez, RN, CDI Specialist
Healthcare acquired condition
Coding Clinic, Fourth Quarter 2013 Page: 119 Effective with discharges: October 21, 2013
Question:
A patient is admitted to the hospital and diagnosed with severe sepsis due to healthcare associated pneumonia. The physician documented that her healthcare associated pneumonia was due to her recent hospitalization. During a recent ICD-10-CM training it was suggested that code Y95 Nosocomial condition could be assigned in addition to R65.20, Severe sepsis without septic shock, and J18.9 Pneumonia, unspecified organism. There is currently no indexing in the ICD-10-CM index that supports this assignment. Is it appropriate to assign code Y95, Nosocomial condition based on the documentation of healthcare associated pneumonia or hospital acquired pneumonia?
Answer:
Yes, it is appropriate to assign code Y95, Nosocomial condition, for a documented healthcare acquired condition. Code Y95 can be found on the Index to External Causes under the main term “Nosocomial condition.â€
Thank you,
Brittany Lopez, RN, CDI Specialist
Healthcare acquired condition
Coding Clinic, Fourth Quarter 2013 Page: 119 Effective with discharges: October 21, 2013
Question:
A patient is admitted to the hospital and diagnosed with severe sepsis due to healthcare associated pneumonia. The physician documented that her healthcare associated pneumonia was due to her recent hospitalization. During a recent ICD-10-CM training it was suggested that code Y95 Nosocomial condition could be assigned in addition to R65.20, Severe sepsis without septic shock, and J18.9 Pneumonia, unspecified organism. There is currently no indexing in the ICD-10-CM index that supports this assignment. Is it appropriate to assign code Y95, Nosocomial condition based on the documentation of healthcare associated pneumonia or hospital acquired pneumonia?
Answer:
Yes, it is appropriate to assign code Y95, Nosocomial condition, for a documented healthcare acquired condition. Code Y95 can be found on the Index to External Causes under the main term “Nosocomial condition.â€