Severe Sepsis: Difference between revisions

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{{DX tag | Infection | | Severe Sepsis | SEVERE SEPSIS | 45-00 | | | '''Critical Care and Medicine''' | Currently Collected | |}}
{{PreICD10 dx | NewDxArticle = Severe sepsis }}
'''Guideline''': 
{{DX tag | Infection | | Severe Sepsis | SEVERE SEPSIS | 4500 | | | '''Critical Care and Medicine''' | Currently Collected | |}}
:Severe Sepsis is '''organ failure''' (as defined by [[Septic Shock]]) '''but excludes hypotension'''.
 
*We don't need the vital sign criteria that exist for septic shock to be met to code severe sepsis. Look for signs of organ failure in a patient with probable infection.
Severe Sepsis is '''organ failure''' (as defined by [[Septic Shock]]) '''but excludes hypotension'''. See also [[Septicemia]] definition.


== How to code ==
== How to code ==
{{Discussion}}
Mutually exclusive with [[Septic Shock]].  
*In the following example, how would you code your pathogen? A patient has severe sepsis resulting from a cystitis. The urine is positive for E.Coli, and the blood culture is negative. While the pathogen for cystitis would be E.Coli, would the pathogen for severe sepsis in this case be a.)negative culture or to again code b.) E.Coli??? [[User:Mlagadi|Mlagadi]] 09:00, 2016 September 30 (CDT)
** You have answered your own question...Cystitis  - E.Coli positive, Severe Sepsis - negative blood culture.--[[User:CMarks|CMarks]] 13:54, 2016 October 3 (CDT)
*** Thanks Con, I thought so. Michelle, I am not sure I understand why this was a question, to be honest. Could you explain to me how else you could have coded it? I am asking to make sure the question would be answered if it came up again. By the way, this is not specific to Sepsis but general to pathogen coding, so if anything needs to be added to clarify for future it should go into [[Pathogens]], maybe a new heading in there. So, if you think something should go in there to clarify this for the future, could you please add it? And, once you have read it, please delete this from here. Thanks! Ttenbergen 17:47, 2016 October 3 (CDT)
****My other thought on coding this would be to code the severe sepsis as E.Coli as well, because this was the organism that was causing the sepsis, even though the blood culture was negative. If I have a positive blood culture, than I code it as septicemia in addition to my other codes. I didn't think that the terms severe sepsis and septicemia were interchangeable. I will stop doing this, as it seems like this is inconsistent with what other people are collecting. Thanks for clarifying this Con.[[User:Mlagadi|Mlagadi]] 07:27, 2016 October 5 (CDT)
*In order to code septicemia you must have a positive blood culture which is not required for severe sepsis or septic shock based on their criteria.--[[User:CMarks|CMarks]] 12:55, 2016 October 5 (CDT)
 
Mutually exclusive with [[Septic Shock]]
 
Also see: [[Septicemia]] definition.


== {{CCMDB Data Integrity Checks}} ==
=== excludes vital sign requirement of septic shock ===
This is mutually exclusive with 44-00 [[Septic Shock]].
We don't need the vital sign criteria that exist for septic shock to be met to code severe sepsis. Look for signs of organ failure in a patient with probable infection.


[[Category: Sepsis]]
=== pathogen needs to be from blood culture ===
[[Category: Diagnosis Coding]]
The [[pathogen]] for severe sepsis is obtained from the blood culture result. Do not code the [[pathogen]] for likely related [[:Category:Infection (old)]] as responsible for the sepsis unless it is confirmed by blood culture.[[User:Mlagadi|Mlagadi]] 10:41, 2016 October 17 (CDT)

Latest revision as of 16:56, 17 February 2022


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Severe sepsis

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Infection (old)

Type:

Medical Problem

Main Diagnosis: Severe Sepsis
Sub Diagnosis: SEVERE SEPSIS
Diagnosis Code: 4500
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program: Critical Care and Medicine
Status: Currently Collected


Severe Sepsis is organ failure (as defined by Septic Shock) but excludes hypotension. See also Septicemia definition.

How to code

Mutually exclusive with Septic Shock.

excludes vital sign requirement of septic shock

We don't need the vital sign criteria that exist for septic shock to be met to code severe sepsis. Look for signs of organ failure in a patient with probable infection.

pathogen needs to be from blood culture

The pathogen for severe sepsis is obtained from the blood culture result. Do not code the pathogen for likely related Category:Infection (old) as responsible for the sepsis unless it is confirmed by blood culture.Mlagadi 10:41, 2016 October 17 (CDT)

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