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Sepsis DX code

  1. #1
    Default Sepsis DX code
    Medical Coding Books
    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. Default
    Sepsis due to pneumonia is coded 486 as the primary and 995.91 as the secondary so you have it correct!

  3. #3
    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. Default
    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
    Thankyou everyone

  6. Default Sepsis Coding
    So sequencing must be like this?



    Sunil CPC

  7. #7

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