Agnes is admitted with cough, fever, and dysphagia. Chest x-ray shows infiltrates in both lower lobes. Sputum culture is positive for Staph aureus. Swallow study indicates that Agnes aspirates. Physician documents aspiration pneumonia and Staph aureus pneumonia. As a coder, you would assign codes for the following and with correct sequencing order.

Question

Quizplus · Accepted Answer

Code for both aspiration pneumonia and Staph aureus pneumonia, with the aspiration pneumonia listed first due to sequencing guidelines. Dysphagia is not coded separately as it is an expected complication of aspiration pneumonia. Therefore, the correct order is aspiration pneumonia, Staph aureus pneumonia, and dysphagia.

Agnes Is Admitted with Cough, Fever, and Dysphagia