Influenza and Pneumonia
I know that there are combination codes for Influenza and pneumonia, and that would be sequenced first in cases of influenza with pneumonia. But, do we have to make influenza with pneumonia as PDx every time?
My provider documented: "1. Gram negative Pneumonia likely HCAP, due to patient is from nursing home, 2. Influenza positive. Plan: Start Ertepenem and Tamiflu"
Provider no where documented that pneumonia is related to influenza, but instead he repeatedly documented that pneumonia is likely HCAP. What do we make as Principle diagnosis in this case?