Rheumatoid Arthritis Nursing Diagnosis Interventions and Care Plans
• 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.
Assign the correct diagnosis code: Bacterial septic arthritis, right knee. Answer: M00. 861 Arthritis, arthritic (acute) (chronic) (nonpyogenic) (subacute), septic (any site except spine) – see Arthritis, pyogenic or pyemic (any site except spine), bacterial NEC, knee.
Pyogenic, or septic, arthritis is a serious and painful infection of a joint. It is most often caused by bacteria, such as staphylococcus or streptococcus, but can also be caused by a fungus or virus.
Septic arthritis is a painful infection in a joint that can come from germs that travel through your bloodstream from another part of your body. Septic arthritis can also occur when a penetrating injury, such as an animal bite or trauma, delivers germs directly into the joint.
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.
The sooner it's diagnosed, the better. If there is a delay, the infection can quickly damage parts of the joint. This may lead to pain that lasts for a long time and loss of mobility. In some cases, if left untreated, septic arthritis can lead to blood poisoning, known as septicaemia.
Other streptococcal arthritis, right knee M00. 261 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 M00. 261 became effective on October 1, 2021.
In adults and children, common bacteria that cause acute septic arthritis include staphylococcus and streptococcus. Among young, sexually active adults, neisseria gonorrhoeae is the most common pathogen for the condition. These foreign invaders enter the bloodstream and infect the joint, causing inflammation and pain.
Osteomyelitis is an infection of the bone that can include the periosteum, medullary cavity, and cortical bone. Septic arthritis is an infection of surface of the cartilage that lines the joint and the synovial fluid that lubricates the joint.
Septic arthritis in the pediatric hip is an emergent surgical condition that if not rapidly treated, can lead to the rapid destruction of the hip, sepsis and even death. Septic arthritis of the pediatric hip needs to be differentiated from transient synovitis of the hip.
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.
9: Fever, unspecified.
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 .
There are several different types of arthritis depending on the causal organism (Gonococcal, Pneumococcal, Streptococcal etc.), Infectious, Juvenile, due to some other disease and many other. Common types of arthritis found in medical records are osteoarthritis and rheumatoid arthritis.
As per coding policies, coders should not diagnose a disease , coder can only code what Physician diagnosed.
Treatment can help reducing symptoms, but arthritis cannot be cured totally. Most type of Arthritis can lasts for many years or can be there life long.