Severe sepsis: Difference between revisions
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{{ICD10 category|Infectious disease}}{{ICD10 category|Cardiovascular}} | |||
{{ICD10 category|Infectious disease}} | |||
== Additional Info == | == 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 == | == 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]] | |||
*[[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]] == | == Candidate [[Combined ICD10 codes]] == | ||
*Also code the causative infection. | |||
== Related Articles == | == Related Articles == | ||
Revision as of 15:35, 2017 November 1
| ICD10 Diagnosis | |
| Dx: | Severe sepsis |
| ICD10 code: | R65.1 |
| Pre-ICD10 counterpart: | Severe Sepsis |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | 2019-0: Sepsis |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
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
- 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 Articles
Show all ICD10 Subcategories