influenza A

BrendaBrenda
edited April 2017 in Home Care Coding General
Is J09.x2 the correct code to assign for influenza A?
The physician doesn't use the word, novel.

Also, is influenza an upper respiratory tract illness? So I wouldn't use J44.0 if patient also has exacerbation of COPD?

Brenda Hoss
Coder

Comments

  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    J44.1 is exacerbation of COPD. It states you code j44.0 IF the patient has a LOWER resp infection. :) if it was a LOWER resp infection with COPD and COPD Exacerbation you would assign both J44.1, J44.0, followed by the lower resp infection :)

    From: Brenda Hoss [mailto:Brenda.Hoss@tabitha.org]
    Sent: Wednesday, February 15, 2017 9:33 AM
    To: HomeCareCoding-L
    Subject: [homecarecoding-l] influenza A

    Is J09.x2 the correct code to assign for influenza A?
    The physician doesn't use the word, novel.

    Also, is influenza an upper respiratory tract illness? So I wouldn't use J44.0 if patient also has exacerbation of COPD?

    Brenda Hoss
    Coder
  • BrendaBrenda
    edited April 2017
    That I understand, but is influenza a lower resp infection? I'm thinking upper, but want to make sure.


    Brenda Hoss
    Coder
  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    it states lower resp infections include pneumonia, bronchitis, and bronchiolitis...I guess by that i would assume to leave off the J44.0...since influenza is more viral.
  • BrendaBrenda
    edited April 2017
    Thanks, that's what I was thinking. Do you think the j09.x2 is correct?


    Brenda Hoss
    Coder
  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    Yes that is the default code unless you have any other manifestations/complications listed :)
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    Influenza is a viral infection not confined to the respiratory system, but instead is generalized illness throughout affecting multiple organ systems including the GI system

    Nancy Wolverton RN, CCM, HCS-D-10
    Utilization Review Specialist
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526 (o)
    501-690-2027 (c)
    Nancy.Wolverton@kindred.com
  • BrendaBrenda
    edited April 2017
    Thanks for the explanation. I am using J09.x2 for influenza A


    Brenda Hoss
    Coder
  • ericcabali18ericcabali18
    edited April 2017
    There is a combination code for pneumonia cause by influenza
  • ericcabali18ericcabali18
    edited April 2017
    influenza codes often include other manifestations, such as resp. or gastro manifestations. clarifying terms include influenzal pharyngitis, influenzal laryngitis and influenza with upper resp symptoms unspecified. but if the patient also has associated pleural effusion or sinusitis, additional codes need to be assigned to capture those, according to tabular instructions.
  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    My patient has both Influenza A and Pneumonia..can someone please tell me what code is the right one to assign? The whole Novel thing throws me off? I first came to J09.X2...then I seem J09.X1...then I saw J10.1 since the "NOVEL"...can someone please clarify what I do here? I read the chapter section and that's just as unclear!

    Thanks

    Danie Stevens, RHIT
    Home Health Coder
    Essentia Health St. Mary's
    114 Frazee Street East Detroit Lakes, MN 56501
    218-314-7857
    Danielle.Stevens@essentiahealth.org
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