I am very confused. The clinician documented the patient has "mild urosepsis with gram-negative rods, ID and sensitivities pending". The urine culture was greater than 100,000 gram negative rods. On his billing sheet, he wants to bill Sepsis for the hospital encounter. Do I use 599.0 or 995.91. On the subsequent hospital day, the documentation indicates Mild sepsis due to ecoli from urinary source-pyelonephritis.
Question: How would I code the first day
How would I code the second day
I am very confused about whether to code as 599.0 with 041.4 or if I use 995.91 and 041.4.
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