Sequencing of Septic Shock

jpotterjpotter
in CDI Talk Archive
Any ideas on how to sequence the following?
Septic shock due to necrotizing fasciitis.
Also documented severe sepsis, acute renal failure.
2003 4Q 2004 updates seem to say to sequence the necrotizing fasciitis as principal followed by septic shock. But I am not sure how the additional documentation of severe sepsis comes into play. Any ideas?

Comments

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    1. Sepsis - Default Code is 038.9 unless particular organism stated - 038.X
    2. Septic Shock - 785.52
    3. 995.92 - Severe Sepsis
    4. Necrotizing Fasciitis - 728.86


    (By definition, Septic Shock is a Severe Form of Sepsis)

    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002
    Fax:  415.600.1325
    Ofc:  415.600.3739
    evanspx@sutterhealth.org


  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    Sepsis as pdx

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404


  • jpotterjpotter
    Thank you, everyone. I thought so but needed some back up to defend my sequencing. You are all amazing!!
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