Results 1 to 2 of 2

Thread: Icd-9cm sirus and sepis

  1. #1
    Join Date
    Apr 2007
    Posts
    511

    Default Icd-9cm sirus and sepis

    Promo: Code Books
    Is my selection correct for this scenario?

    481,995.90 1st DX.

    038.9,995.91,584.9 2dn DX.


    My confusion lies in whether you can code, SIRS and Sepis together when there stated on different areas of the note.




    1) RLL PNA: severe multilobar pneumonia with SIRS.
    broad spectrum abx: agree w vanco/levaquin. add cefepime
    -cont fluid resuscitation
    -sputum gram stain and cultures, f/u blood culture result
    -supportive care
    -bronchodilators and resp toilet

    2)Acute renal failure: pre-renal versus ATN from sepsis
    fluid and supportive care



    Daniel

  2. #2
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,168

    Default

    From the coding guidelines:
    (iii)
    Sepsis generally refers to SIRS due to infection.
    (iv)
    Severe sepsis generally refers to sepsis with associated acute organ dysfunction.

    3)
    Sepsis/SIRS with Localized Infection
    If the reason for admission is both sepsis, severe sepsis, or SIRS and a localized infection, such as pneumonia or cellulitis, a code for the systemic infection (038.xx, 112.5, etc) should be assigned first, then code 995.91 or 995.92, followed by the code for the localized infection. If the patient is admitted with a localized infection, such as pneumonia, and sepsis/SIRS doesn’t develop until after admission, see guideline I.C.1.b.2.b)


    This just an excerpt from the guidelines they cover this topic very well so I would encourage you to read this section.
    but you cannot have an organ dsyfunction and no organ dysfunction together so you need to defer your sepsis code to the 995.91 for the organ dysfunction.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. ICD-9CM - Mod LT/RT?
    By chaimz in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-13-2014, 02:13 PM
  2. Teaching ICD-9CM coding books
    By Anduiza05 in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 07-17-2012, 09:28 AM
  3. Need ICD-9cm code for Capitellar fx
    By jfeazel in forum Orthopaedics
    Replies: 1
    Last Post: 05-07-2010, 09:31 AM
  4. Icd-9cm guidelines
    By daniel in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-29-2009, 05:05 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.