Coding, Classification and Reimbursement

Right Lower Lobe Pneumonia

  • 1.  Right Lower Lobe Pneumonia

    Posted 12-31-2018 11:35
    ​​I need to code my first "right lower lobe pneumonia" since the recent change in Coding Clinic and I am struggling.  After 40+ years of coding, this one has really messed with my mind.  I think I would feel better if the Coding Clinic Powers That Be would make corrections to the old Coding Clinic that indicated this is an area of pneumonia and not to be confused with lobar pneumonia and why.  Because there were some further explanations on why it's not the same.  And now, we reverse our thoughts without clear understanding why.  At least this is my opinion.  Thank you for listening and I hope I am not the only coder that feels this way and Happy New Year Everyone.

    Nelda Laskey RHIT
    Coder/RAC Coordinator
    Kearny County Hospital

  • 2.  RE: Right Lower Lobe Pneumonia

    Posted 01-02-2019 12:07
    I had to look into this one myself, but after seeing that "lobar pneumonia" is classified differently in ICD-10-CM, it eased my mind.  In ICD-9, lobar pneumonia was classified as pneumococcal pneumonia (code 481), but for ICD-10-CM, the code states that the organism is unspecified and new advice is to use this code for pneumonia of a specified lobe.  There was not an equivalent code for J18.1 (Lobar pneumonia, unspecified organism) in ICD-9 and there is a different code for pneumococcal pneumonia in ICD-10-CM (J13).  The issue with assigning 481 for lobar pneumonia was the organism - that issue is obsolete in ICD-10-CM now that lobar codes to an unspecified organism.  Hope that helps.

    Kristi Pollard, RHIT, CCS, CPC, CIRCC
    Senior Coding Consultant and AHIMA-Approved ICD-10-CM/PCS Trainer
    Haugen Consulting Group