Severe sepsis: Difference between revisions

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{{ICD10 transition status

| OldDxArticle =~~Thrombocytopenia~~| CurrentStatus = ~~freshly automatically generated article~~

| OldDxArticle =Severe Sepsis

| CurrentStatus = reconciled

| InitialEditorAssigned = Stephanie Cortilet

~~| MinimumCombinedCodes =2~~

}}

{{ICD10 dx

| MinimumCombinedCodes =2

| ICD10 Code=R65.1

| BugRequired=

| BugRequired= required

}}

== Additional Info ==

*The current ICD-10 codings of sepsis and its subsets is based on the SEPSIS-2 criteria from 2001. In 2017 the SEPSIS-2 criteria came out but ICD-10 doesn't reflect that yet.

*If the sepsis is NOT accompanied by organ failure, or IS accompanied by shock, then this is NOT the correct code.

*SIRS is defined as 2 or more of the following things:

**Fever of more than 38°C (100.4°F) or less than 36°C (96.8°F)

**Heart rate of more than 90 beats per minute

**Respiratory rate of more than 20 breaths per minute or arterial carbon dioxide tension (PaCO 2) of less than 32 mm Hg

**Abnormal white blood cell count (>12,000/µL or <4,000/µL or >10% immature [band] forms)

== Alternate ICD10s to consider coding instead or in addition ==

*[[Sepsis (SIRS due to infection, without acute organ failure)]]

*[[Severe sepsis (SIRS due to infection with acute organ failure)]]

*[[Shock, septic]]

*[[Puerperal (post-delivery) infections or sepsis]]

*[[Shock, NOS]]

*[[Bacteremia]] AND [[Fungemia, NOS]] -- these are laboratory manifestations, and while it's OK to code them if present, if you do so you should also code the clinical manifestation (such as sepsis, etc).

*[[Shock, cardiogenic]]

*[[Shock, hypovolemic shock or hemorrhagic shock]]

*[[Toxic shock syndrome]]

*[[Bacteremia~~, NOS~~]] AND [[Fungemia, NOS]] -- these are laboratory manifestations, and while it's OK to code them if present, if you do so you should also code the clinical manifestation (such as sepsis, etc).

== Candidate [[Combined ICD10 codes]] ==

*Also code the causative infection.

== Related CCI Codes ==

== Reporting ==

For reporting purposes we group our ICD10 Diagnoses by ICD10 chapter. '''Sepsis is an exception to this!''' [[Sepsis (SIRS due to infection, without acute organ failure)]] and [[Severe sepsis]] will be reported as a group outside of the ICD10 chapters.

== Background ==

=== Introduction of ... ===

*Even though as of November 2017 ICD-10 has not yet been modified to reflect it, we are using the 2016 consensus definition of sepsis and septic shock (JAMA 315(8):801-10, 2016). These new definitions completely do away with talking about the Systemic Inflammatory Response Syndrome (SIRS). In the 2016 definitions

== Related Articles ==

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle =Thrombocytopenia| CurrentStatus = freshly automatically generated article
+| OldDxArticle =Severe Sepsis
+| CurrentStatus = reconciled
 | InitialEditorAssigned = Stephanie Cortilet
-| MinimumCombinedCodes =2
 }}
 {{ICD10 dx
+| MinimumCombinedCodes =2
 | ICD10 Code=R65.1
-| BugRequired=
+| BugRequired= required
 }}
-{{ICD10 category|Infectious disease}}{{ICD10 category|Cardiovascular}}
+{{ICD10 category|Infectious disease}}{{ICD10 category|Infection requiring pathogen}}{{ICD10 category|Cardiovascular}}
 == Additional Info ==
-*The current ICD-10 codings of sepsis and its subsets is based on the SEPSIS-2 criteria from 2001.  In 2017 the SEPSIS-2 criteria came out but ICD-10 doesn't reflect that yet.
+{{ICD10 Guideline Sepsis}}
-*If the sepsis is NOT accompanied by organ failure, or IS accompanied by shock, then this is NOT the correct code.
-*SIRS is defined as 2 or more of the following things:
-**Fever of more than 38°C (100.4°F) or less than 36°C (96.8°F)
-**Heart rate of more than 90 beats per minute
-**Respiratory rate of more than 20 breaths per minute or arterial carbon dioxide tension (PaCO 2) of less than 32 mm Hg
-**Abnormal white blood cell count (>12,000/µL or <4,000/µL or >10% immature [band] forms)
 == Alternate ICD10s to consider coding instead or in addition ==
 *[[Sepsis (SIRS due to infection, without acute organ failure)]]
-*[[Severe sepsis (SIRS due to infection with acute organ failure)]]
 *[[Shock, septic]]
 *[[Puerperal (post-delivery) infections or sepsis]]
-*[[Shock, NOS]]
+*[[Bacteremia]] AND [[Fungemia, NOS]] -- these are laboratory manifestations, and while it's OK to code them if present, if you do so you should also code the clinical manifestation (such as sepsis, etc).
-*[[Shock, cardiogenic]]
+{{ListICD10Category | categoryName = shock}}
-*[[Shock, hypovolemic shock or hemorrhagic shock]]
-*[[Toxic shock syndrome]]
-*[[Bacteremia, NOS]] AND [[Fungemia, NOS]] -- these are laboratory manifestations, and while it's OK to code them if present, if you do so you should also code the clinical manifestation (such as sepsis, etc).
 == Candidate [[Combined ICD10 codes]] ==
 *Also code the causative infection.
+{{ICD10 Guideline Infection}}
+== Related CCI Codes ==
+== Reporting ==
+For reporting purposes we group our ICD10 Diagnoses by ICD10 chapter. '''Sepsis is an exception to this!''' [[Sepsis (SIRS due to infection, without acute organ failure)]] and [[Severe sepsis]] will be reported as a group outside of the ICD10 chapters.
+== Background ==
+=== Introduction of ... ===
+*Even though as of November 2017 ICD-10 has not yet been modified to reflect it, we are using the 2016 consensus definition of sepsis and septic shock (JAMA 315(8):801-10, 2016).  These new definitions completely do away with talking about the Systemic Inflammatory Response Syndrome (SIRS). In the 2016 definitions
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
 {{EndPlaceHolder}}