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Thread: Sepsis DX code

  1. #1
    Join Date
    Apr 2007

    Default Sepsis DX code

    AAPC: Back to School
    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

  2. #2


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

  3. #3
    Join Date
    Apr 2007
    Des Moines


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

    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

  4. #4


    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

  5. #5
    Join Date
    Apr 2007


    Thankyou everyone

  6. #6

    Default Sepsis Coding

    So sequencing must be like this?



    Sunil CPC

  7. #7



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