Sepsis
is a life-threatening complication that develops when the chemicals the immune
system releases into the bloodstream to fight an infection cause inflammation
throughout the body instead. Coding of Sepsis and Severe Sepsis can be
complicated and physicians would do well to rely on medical coding services to report these
conditions. Experienced coders carefully review ICD-10 guidelines and clinical
documentation to assign the right codes for sepsis, severe sepsis and septic
shock.
Physicians
should use the term “bacteremia” if there is evidence of bacteria circulating
in the blood. Since ICD-10 utilizes combination coding, sepsis without acute
organ failure requires only one code, that is, the code for the underlying
systemic infection (A40.0 – A41.9). Complete and accurate coding of severe
sepsis, however, requires a combination of at least two codes – the first code
sequenced to identify the underlying organism (Sepsis, A40.0 – A41.9) or cause
of the sepsis (postprocedural infection, trauma, or burn), followed by a code
indicating the extent to which the septic condition has progressed, that is,
severe sepsis with or without septic shock.
ICD-10
guidelines state that the coder should query the provider in the following
instances:
If
it is reported that the patient has sepsis and associated acute organ
dysfunction or multiple organ dysfunction (MOD), the instructions for coding
severe sepsis should be followed.
R65.2,
Severe sepsiswithout septic shock
Severe
sepsis is a result of both community-acquired and health care-associated
infections. It is reported that pneumonia accounts for about half of all cases
of severe sepsis, followed by intraabdominal and urinary tract infections.
A
minimum of two codes are needed to code severe sepsis. First, an appropriate
code has to be selected for the underlying infection, such as, A41.51 (Sepsis
due to Escherichia coli), and this should be followed by code R65.2, severe
sepsis.
R65.21,
Severe sepsis with septic shock
As
it typically refers to circulatory failure associated with severe sepsis,
septic shock indicates a type of acute organ dysfunction.
The
code for septic shock cannot be assigned as a principal diagnosis. For septic
shock, the code for the underlying infection should be sequenced first,
followed by code R65.21, Severe sepsis with septic shock or code T81.12,
Postprocedural septic shock. Additional codes are also required to report other
acute organ dysfunctions.
Sepsis due to a Postprocedural
Infection
Sepsis and severe sepsis associated with a
noninfectious process (condition)
generic name for cialis Laura Esserman, Director of the Breast Cancer Center at University of California, San Francisco School of Medicine, director of the lead author of the JAMA article Rethinking Screening for Breast Cancer and Prostate Cancer
deficiency, though quite rare, can cause hemolytic anemia because vitamin E protects the red blood cell membrane from oxidative damage cialis online The incidence of women with breast cancer who developed new onset a fib was 3
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