Learn about lobar pneumonia diagnosis, including clinical documentation requirements, medical coding guidelines (ICD-10-CM J18.1), symptoms, treatment, and prognosis. Find information on pneumonia, lobar consolidation, community-acquired pneumonia, bacterial pneumonia, respiratory infection, chest X-ray findings, and auscultation. This resource provides healthcare professionals with essential information for accurate diagnosis and coding of lobar pneumonia.
Also known as
Lobar pneumonia, unspecified organism
Pneumonia affecting one or more lobes of the lung, cause unknown.
Pneumonia
Inflammation of the lungs from various causes.
Pneumonia due to Streptococcus pneumoniae
Lung inflammation specifically caused by Streptococcus pneumoniae bacteria.
Bacterial pneumonia, not elsewhere classified
Pneumonia caused by bacteria other than those specifically classified.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the lobar pneumonia bacterial?
Yes
Organism specified?
No
Viral pneumonia?
When to use each related code
Description |
---|
Lobar Pneumonia |
Bronchopneumonia |
Community-Acquired Pneumonia |
Coding pneumonia without identifying the causative organism when documented leads to inaccurate severity and treatment reflection.
Insufficient clinical indicators like fever, cough, and chest X-ray findings may lead to unsubstantiated lobar pneumonia diagnosis coding.
Failing to specify right, left, or bilateral involvement when documented can impact quality reporting and reimbursement accuracy.
Patient presents with symptoms consistent with lobar pneumonia. Chief complaints include productive cough with rusty or blood-tinged sputum, fever, chills, pleuritic chest pain, dyspnea, and fatigue. Physical examination reveals diminished breath sounds, crackles, and dullness to percussion over the affected lobe. Symptoms onset began approximately three days ago. Patient reports recent upper respiratory infection. Vital signs demonstrate elevated temperature (102.5 F), tachycardia, and tachypnea. Chest X-ray confirms consolidation in the right lower lobe, consistent with lobar pneumonia diagnosis. Differential diagnosis considered bacterial pneumonia, viral pneumonia, and bronchitis. Based on clinical presentation and imaging findings, the diagnosis of lobar pneumonia is confirmed. Treatment plan includes antibiotic therapy with ceftriaxone intravenously, oxygen supplementation as needed, analgesics for pain management, and antipyretics for fever reduction. Patient education provided on the importance of medication adherence, hydration, rest, and follow-up care. Patient advised to return for re-evaluation in one week to assess treatment response and resolution of symptoms. Medical coding includes ICD-10 code J18.1 for lobar pneumonia, unspecified organism. CPT codes will be assigned based on specific procedures performed, including chest X-ray and intravenous administration of medication. Prognosis is generally favorable with appropriate antibiotic treatment and supportive care. Patient monitoring will include respiratory status, oxygen saturation, temperature, and response to antibiotics. Potential complications such as pleural effusion, empyema, and sepsis will be monitored closely.