Sepsis DX code

[kumeena]

What is the code for Sepsis with Pneumonia & Sepsis due to Pneumonia?

How many codes I need ? 486 & 995.91 Is it correct?


Thank you

[cblack712]

Sepsis due to pneumonia is coded 486 as the primary and 995.91 as the secondary so you have it correct!

[BABS37]

Yep, you just code the underlying condition first, which is pneumonia and then code the sepsis

[cordelia]

The correct way to code this is

038.9 (if a specific organism is not identified as causing the sepsis), 995.91, 486

The coding guidelines state that you first must code the underlying systemic infection (038.xx, 112.5, etc) followed by the Sepsis code, 995.91 or Severe Sepsis, 995.92, then the underlying localized infection (pneumonia, cellulitis, or UTI).

Cordelia, CCS, CPC

[kumeena]

Thankyou everyone