With latest advances in treatment options, the mortality rate for septic shock has decreased to 30-40%. Early diagnosis and aggressive antibiotic therapy within 6 hours of establishing the diagnosis has played a significant role in improving clinical outcome.
The systemic inflammatory response (SIRS) to infection, manifested by at least two of:
Medications. A number of medications are used in treating sepsis and septic shock. They include: Antibiotics. Treatment with antibiotics begins as soon as possible. Broad-spectrum antibiotics, which are effective against a variety of bacteria, are usually used first. After learning the results of blood tests, your doctor may switch to a ...
Septic shock linked to high mortality rates among patients with hematologic malignancies
Septic shock – Code first the underlying systemic infection, such as 038.0 (Streptococcal septicemia), then code 995.92 for severe sepsis, then code 785.52 for septic shock and finally assign the code for the specific type of organ failure inherent to septic shock, such as 584.9 for acute renal failure.
R65. 21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R65. 21 became effective on October 1, 2021.
Any additional code(s) for other acute organ dysfunction should also be assigned. As noted in the Tabular List, the code for septic shock cannot be assigned as the principal diagnosis. The Official Guidelines for Coding and Reporting Section I.C. 1.
785.522012 ICD-9-CM Diagnosis Code 785.52 : Septic shock.
subcategory R65.2If the patient has severe sepsis, a code from subcategory R65. 2 should also be assigned as a secondary diagnosis.
sepsis. Septic shock is a severe complication of sepsis that can include very low blood pressure, an altered mental state, and organ dysfunction. It has a hospital mortality rate of 30–50 percent , making it very dangerous if not treated quickly.
(Septic shock cannot occur without sepsis and severe sepsis being present). You would need to add codes for the underlying condition (local infection) as well as codes for the organ dysfunction resulting from the sepsis that support the presence of severe sepsis.
Coding sepsis requires a minimum of two codes: a code for the systemic infection (e.g., 038. xx) and the code 995.91, SIRS due to infectious process without organ dysfunction. If no causal organism is documented within the medical record, query the physician or assign code 038.9, Unspecified septicemia.
When wouldn't sepsis POA be principal? A: Likely, in the case you describe, the patient had sepsis that was due to a catheter-associated UTI (CAUTI). There are in fact some instances where sepsis may be present, but not selected as the principle diagnosis.
9: Fever, unspecified.
If septic shock is documented, A41. 9 and R65. 21 can be coded.
When sepsis is present on admission and due to a localized infection (not a device or post procedural), the sepsis code is sequenced first followed by the code for the localized infection.
Postprocedural endotoxic shock resulting from a procedure, not elsewhere classified. Postprocedural gram-negative shock resulting from a procedure, not elsewhere classified. Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.