R41. 82 Altered mental status, unspecified - ICD-10-CM Diagnosis Codes.
ICD-10 code R65. 21 for Severe sepsis with septic shock is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
coli] A41. 51.
further specified, assign code A41. 9, Sepsis, unspecified organism.” When this diagnosis is reported, the patient's blood culture was negative for any causative organism.
Chapter-specific guidelines state, “First code for the underlying systemic infection, followed by R65. 21, septic shock. If the causal organism is not documented, assign code A41. 9, sepsis, unspecified organism, for the infection.
(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.
Bacteremia is the presence of bacteria in the blood, hence a microbiological finding. Sepsis is a clinical diagnosis needing further specification regarding focus of infection and etiologic pathogen, whereupon clinicians, epidemiologists and microbiologists apply different definitions and terminology.
Clinically, the physician may not be differentiating the diagnoses as two different things, even though coding does. Now, bacteremia is the principal diagnosis, it won't change your DRG, though it could certainly affect quality concerns and medical necessity.
coli] as the cause of diseases classified elsewhere. B96. 20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Septicemia – There is NO code for septicemia in ICD-10. Instead, you're directed to a combination 'A' code for sepsis to indicate the underlying infection, such A41. 9 (Sepsis, unspecified organism) for septicemia with no further detail.
According to the guidelines above, sepsis would be the appropriate principal diagnosis if it is the reason the patient is admitted, and meets the definition of principal diagnosis.
19.
As of October 2015, ICD-9 codes are no longer used for medical coding. Instead, use this equivalent ICD-10-CM code, which is an exact match to ICD-9 code 038:
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
As of October 2015, ICD-9 codes are no longer used for medical coding. Instead, use this equivalent ICD-10-CM code, which is an approximate match to ICD-9 code 038.0:
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
038.0 is a legacy non-billable code used to specify a medical diagnosis of streptococcal septicemia. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
References found for the code 038.0 in the Index of Diseases and Injuries:
Sepsis is a serious illness. It happens when your body has an overwhelming immune response to a bacterial infection. The chemicals released into the blood to fight the infection trigger widespread inflammation. This leads to blood clots and leaky blood vessels. They cause poor blood flow, which deprives your body's organs of nutrients and oxygen.
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.