Pneumonia specificity

jillian.bisbejillian.bisbe
in Clinical & Coding
Looking for consensus->  Is this enough documentation to code to Klebsiella pneumonia? Healthcare-associated pneumonia Assessment & Plan   Sputum culture showing Klebsiella Chest x-ray with improved aeration today Continue piperacillin/tazobactam

Comments

  • jillian.bisbejillian.bisbe
    It didn't post as its shown in the record. They use Healthcare associated Pneumonia as a title and they post the rest underneath.
  • cffernandez44@gmail.comcffernandez44@gmail.com
    not enough ... coding rules stipulate that the physician has to make the link between causative organism and condition
  • pattyvitasinski@comcast.netpattyvitasinski@comcast.net

    I agree with cffernandez44@gmail.com.  Must have pneumonia d/t organism. 



  • tpeyton1tpeyton1
    I agree - the causative organism needs to be linked to the pneumonia -  just because its found in the sputum does not mean it is the source of the pneumonia being treated. 
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