When assigning codes for VAP:
A) the source of the virus-associated pneumonia must be verified by a pulmonary culture.
B) the length of time the patient has been on the vent must be considered before the coder can assign the VAP code.
C) the relationship between the pneumonia and the ventilator use must be documented by the physician.
D) there must be a CXR that clearly shows the pneumonia and the endoctracheal or tracheostomy tube.
Question 2
When documentation in the record is unclear whether or not the patient developed a new pressure ulcer while being treated for a healing/existing pressure ulcer, the coder should:
A) review the nursing documentation to find the information.
B) discuss the case with the wound care nurse.
C) query the provider.
D) none of the above.
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