Severe Sepsis

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

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edit dx infobox
Category/Organ System:	Category: Infection (old)
Type:	Medical Problem
Main Diagnosis:	Severe Sepsis
Sub Diagnosis:	SEVERE SEPSIS
Diagnosis Code:	45-00
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:	Critical Care and Medicine
Status:	Currently Collected

Guideline:

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.

Template:Discussion 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??? Mlagadi 09:00, 2016 September 30 (CDT)

• You have answered your own question...Cystitis - E.Coli positive, Severe Sepsis - negative blood culture.--CMarks 13:54, 2016 October 3 (CDT)

Mutually exclusive with Septic Shock

Also see: Septicemia definition.

Template:CCMDB Data Integrity Checks

This is mutually exclusive with 44-00 Septic Shock.