Template:ICD10 Guideline Sepsis

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Revision as of 08:05, 2018 December 14 by Ttenbergen (talk | contribs)
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This template info about coding sepsis to keep it consistent across pages.

To use:

{{ICD10 Guideline Sepsis}}

Excludes: Only code one of Shock, septic or Severe sepsis, do not code them together. Sepsis comes in two subcategories:

  • Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection -- NOTE this was the 2001 definition of "severe sepsis"
  • Septic shock is a subset of sepsis in which profound circulatory, cellular and metabolic abnormalities are associated with a greater risk of mortality than with sepsis alone

The cause of the sepsis can be proven infection or presumed infection. Positive cultures are not required.


Collection criteria:

  • acute failure of one of more organs in the setting of infection, and presumably due to the infection. The official definition of this per the SEPSIS-3 guidelines is an acute increase in the SOFA score by 2 or more.


We had decided to shelve the discussion about using the SOFA score until after ICD10 (see SOFA scoring. So how will we collect this until then?

  • SMW


  • Cargo


  • Categories
  • The 2016 consensus group defined the ORGAN DYSFUNCTION as an acute CHANGE from patient's baseline total SOFA score by 2 or more points -- where the baseline SOFA score can be assumed to be 0 in patients not known to have preexisting organ dysfunction.
background about 2016 sepsis consensus   
  • 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).