Find information on Left Lower Lobe Pneumonia including diagnosis, symptoms, treatment, and clinical documentation. This resource covers medical coding for Left Lower Lobe Pneumonia, including ICD-10 codes, and relevant healthcare guidelines. Learn about the pathophysiology, radiology findings, and differential diagnosis of Left Lower Lobe Pneumonia. Explore resources for physicians, nurses, and other healthcare professionals involved in the diagnosis and management of Left Lower Lobe pneumonia.
Also known as
Pneumonia, organism unspecified
Pneumonia without specifying the causing organism.
Pneumonia
Inflammation of the lungs caused by various infections.
Diseases of the respiratory system
Encompasses conditions affecting the respiratory tract.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is pneumonia confirmed?
Yes
Is it in the left lower lobe?
No
Do not code pneumonia. Review clinical findings for alternative diagnosis.
When to use each related code
| Description |
|---|
| Left Lower Lobe Pneumonia |
| Lobar Pneumonia |
| Community-Acquired Pneumonia |
Coding pneumonia without specifying the causative organism when documented leads to lower reimbursement and data inaccuracy. Impacts CDI queries and coding audits.
Lack of clear clinical indicators like chest X-ray or culture results in the documentation to support LLL pneumonia diagnosis. Risk for coding denials and compliance issues.
Missing documentation of comorbidities like acute respiratory failure or sepsis with LLL pneumonia impacts severity level and accurate DRG assignment. Affects coding audits and reimbursement.
Patient presents with symptoms consistent with left lower lobe pneumonia (LLL pneumonia). Chief complaint includes productive cough with greenish-yellow sputum, dyspnea, and pleuritic chest pain. Onset of symptoms approximately three days ago. Associated symptoms include fever, chills, fatigue, and myalgia. Patient denies hemoptysis. Medical history significant for hypertension and hyperlipidemia. No known drug allergies. Physical exam reveals diminished breath sounds in the left lower lung field, with inspiratory crackles and dullness to percussion. Respiratory rate is elevated. Heart rate is tachycardic and regular. Temperature is 101.5 degrees Fahrenheit. Oxygen saturation is 92% on room air. Preliminary diagnosis of left lower lobe pneumonia is suspected. Differential diagnoses include bronchitis, acute exacerbation of COPD, and pleural effusion. Chest X-ray ordered to confirm pneumonia location and severity. Laboratory tests including complete blood count (CBC) with differential, basic metabolic panel (BMP), and inflammatory markers such as C-reactive protein (CRP) and procalcitonin have been ordered. Sputum culture and gram stain sent for microbial analysis to guide antibiotic therapy. Treatment plan includes supplemental oxygen via nasal cannula to maintain oxygen saturation above 95%, initiation of empiric antibiotic therapy with ceftriaxone and azithromycin pending culture results, and supportive care including antipyretics for fever management and encouragement of adequate hydration. Patient education provided regarding pneumonia symptoms, treatment, and prevention of transmission. Patient will be monitored closely for response to treatment and potential complications such as sepsis or respiratory distress. Follow-up chest X-ray will be considered to assess treatment response. Referral to pulmonology may be necessary if the patient does not improve clinically.