Pneumonia Captured For Ra In Our CRC Study For Cystic Fibrosis

[CCO_Admin]

Donna Garrett asked:

In our CRC text; page 139: in study for cystic fibrosis "physician must explicity state that the pneumonia or bronchitis is due to a specific organism if the pneumonia is to be captured for RA.(see Table 4-1.17). This table is on seen this same page.

1. I do not see how the info in this table relates to a specific organism.

2. With regard to "Physician ... pneumonia ... specific organism ...;" is this true for all of the pneumonia and bronchitis codes? Or is it true only in relationship to cystic fibrosis.

Thanks; DonnaG

Answer:

You are correct. Cystic fibrosis is unique and you would be looking at codes from E84.0

E84.0 - Cystic fibrosis with pulmonary manifestations

**Use additional**

code to identify any infectious organism present; such as:
Pseudomonas ([B96.5](https://www.findacode.com/code.php?set=ICD10CM&c=B96.5))

Now; keep in mind that if there is not an organism to report you cannot.....

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**Short Descr:**
Cystic fibrosis with pulmonary manifestations

**CMS-HCC v21:**
[110 - Cystic Fibrosis](https://www.findacode.com/code.php?set=HCC_CMS21&c=110)

**CMS-HCC v23:**
[110 - Cystic Fibrosis](https://www.findacode.com/code.php?set=HCC_CMS23&c=110)

**CMS-HCC v22:**
[110 - Cystic Fibrosis](https://www.findacode.com/code.php?set=HCC_CMS22&c=110)

**ESRD-HCC v21:**
[110 - Cystic Fibrosis](https://www.findacode.com/code.php?set=HCC_ESRD21&c=110)

**Rx-HCC v05:**
[225 - Cystic Fibrosis](https://www.findacode.com/code.php?set=HCC_Rx05&c=225)

**HHS-HCC v04:**
[159 - Cystic Fibrosis](https://www.findacode.com/code.php?set=HCC_HHS04&c=159)

**Home Health Dx Group:**
None