Coding, Classification & Reimbursement

1.  Hemophilus Influenza Pneumonia

Posted 04-20-2017 09:07
Can anyone please inform me on how to correctly code Hemophilus influenza pneumonia?  The code book take you to J14, then there is a note to code first the associated influenza, if applicable?  I am totally confused?  Is this not hemophilus influenza causing the pneumonia?  What is correct coding?  What is Hemophilus influenza anyway.  The influenza types confuse me.
I do appreciate your help.

2.  RE: Hemophilus Influenza Pneumonia

Posted 04-21-2017 01:54
First of all , please note it is  Hemophilus Influenzae Pneumonia but not Hemophilus Influenza Pneumonia .

Hemophilus Influenzae Pneumonia is
 a type of pneumonia caused by Hemophilus Influenzae organism which is a gram-negative anaerobic bacteria. Code J14 identifies this condition.

If the physician documents patient  has both PNA & influenza(condition) then we need to sequence influenza first followed by PNA according to Official coding guidelines. This instruction is included under all category codes of pneumonia.

Hope you got clarity.


3.  RE: Hemophilus Influenza Pneumonia

Posted 04-21-2017 06:48
The organism that causes this is located in Index under "haemophilus", B96.3, although the Tabular uses the 'hemophilus' spelling.   Without knowing the odd way that it is spelled in Index (haem as opposed to hemo), it would be very difficult to find otherwise.    This version of spelling  the "haem" in Index vs. "hemo" in tabular is done over several years of ICD code books.

Laura Blalock

4.  RE: Hemophilus Influenza Pneumonia

Posted 04-21-2017 08:28
Hemophilus Influenza is a type of bacteria that can cause infections in people of all ages ranging from mild, such as an ear infection, to severe, such as a bloodstream infection.   Here is a URL to view more details regarding types:  Haemophilus influenzae | Hib | About the Disease | CDC.

The code for H. influenza pneumonia is J14.     "The code first associated influenza, if applicable" instruction is an instruction that directs the coder to assign the influenza code first, if the patient also has influenza - not the bacteria.   The instruction is not applicable if the patient does not have supporting documentation of having influenza as well as pneumonia.     It is a bit confusing to have a bacteria and condition to have the same name.

Laurie Johnson, MS, RHIA, FAHIMA
HIM Consulting
Panacea Healthcare Solutions

5.  RE: Hemophilus Influenza Pneumonia

Posted 04-21-2017 08:42
The organism causing the pneumonia is the bacteria Haemophilus influenza.  It is not the same as the viral illness influenza.  This is coded as J14.  No code is added for influenza unless documented by the physician.  The key word in the Code First note is "if applicable."

Nancy Martilik
Asst. Director of Education
Health Information Associates

6.  RE: Hemophilus Influenza Pneumonia

Posted 04-21-2017 09:27
In this case the H.Influenza is a bacteria organism that's the causative agent of the pneumonia. This is not the influenza virus dx;  where you would have to report the influenza code first... So J14 is the correct code to report for this type of pneumonia...


William Johnson
Senior Internal Consultant
Ochsner Health System

7.  RE: Hemophilus Influenza Pneumonia

Posted 04-28-2017 11:12
Dear John,

The correct code for Hemophilus influenzae pneumonia is J14. The note which is throwing you is associated with "Bronchopneumonia" since this illness may or may not be associated with influenzae. That is why it says "if applicable". The notes can be confusing at times which is why it is always a good idea to ask.

Jodi Miller, RHIT, CCS

Jodi Miller, RHIT, CCS