ICD – 10 Guidelines Chapter-1 Sepsis and severe sepsis with a localized infection

ICD – 10 guidelines Chapter-1 Sepsis and severe sepsis with a localized infection

 

4) Sepsis and severe sepsis with a localized infection

  • If patient admitted with sepsis and severe sepsis and a local infection such as pneumonia and cellulitis
  • First code systemic infection is coded
  • Second localized infection is coded
  • Third severe sepsis is coded.
  • If patient admitted for local infection and there is no severe sepsis until admission and developed later then
  • First local infection is coded
  • Second sepsis , severe sepsis.

Scenario:

  • A patient is admitted because of sepsis ,severe sepsis  and pneumonia.

 

  • How to code?
  • Pdx: A41.9
  • Sdx: j18.9
  • Sdx:r65.20

 

    5) Sepsis due to a postprocedural infection.

  • (a) Documentation of causal relationship.
  • Because of post procedural complication there should be documentation of relationship between sepsis and infection .

 

  • (b) Sepsis due to a postprocedural infection
  • First infection code is coded such as
  • T80.2, Infections following infusion, transfusion, and therapeutic injection,
  • T81.4, Infection following a procedure
  • T88.0, Infection following immunization
  • O86.0,  Infection of obstetric surgical wound
  • Second the severe sepsis
  • Third is infection if it is there along with organ dysfunction is also coded.

 

Scenario:

  • A patient had immunization procedure two days before today because of procedure he had infection of sepsis.

 

  • How to code?
  • Pdx:t88.0
  • Sdx:A41.9

 

(c) Postprocedural infection and postprocedural septic shock

  • If a postprocedural infection has occurred and has resulted in severe sepsis.
  • First will code infection.
  • Second infection and third severe sepsis.
  • If a postprocedural infection has resulted in postprocedural septic shock.
  • First code T81.4, Infection following a procedure,
  • Second t81.12 Postprocedural septic shock
  • Third systemic infection code.

 

6) Sepsis and severe sepsis associated with a noninfectious process (condition)

  • If non infectious condition such as burns and serious injury  leads to   infection i.e sepsis and severe sepsis and in the documentation infection is associated with non infectious condition.
  • First code non infectious condition.
  • Second the infection.
  • Third severe sepsis if present along with any organ failure.

 

Note:

  • R65.1, Systemic inflammatory response syndrome (SIRS) of non-infectious origin, for these cases.
  • If infection meets as pdx first code infection following non infectious condition
  • When both meets a pdx we can code any one as pdx.
  • When non infectious leads to infection and severe sepsis. First code non infect then infection and severe sepsis don’t code r65.1 Systemic inflammatory response syndrome (SIRS) of noninfectious origin.

 

Scenario:

  • Patient admitted for burn  which resulted in sepsis and severe sepsis.

 

  • How to code?
  • Pdx: t30.0
  • Sdx: a41.9
  • Sdx: r65.20

 

  • 7) Sepsis and septic shock complicating abortion, pregnancy, childbirth, and the puerperium See Section I.C.15. Sepsis and septic shock complicating abortion, pregnancy, childbirth and the puerperium.

 

  • 8) Newborn sepsis See Section I.C.16. f. Bacterial sepsis of Newborn.

 

Watch the video for Clear Understanding:

 

Leave a Reply

Your email address will not be published. Required fields are marked *