Disseminated candidiasis

We have a case we haven't seen before, looking for feedback:

We have a patient admitted for sepsis is due to the candida. He went on the vent for >96 hours. Is there any way to capture the vent with this diagnosis? I believe the principal has to be 112.5, Disseminated candidiasis.

Thanks-
Robin



Robin Van Vught, RN
Clinical Documentation Specialist
Meriter Hospital
608-417-7593
rvanvught@meriter.com

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Comments

  • Continuous MV + hours is coded with procedure = 96.72


    Paul Evans, RHIA, CCS, CCS-P, CCDS
  • edited May 2016
    Robin,

    Is sepsis due to candida going to be your principal? If so, then unfortunately you will group to DRG 869-867. Candidiasis groups to a mycoses infection and not a bacterial infection. Sepsis guidelines are pretty specific about assignment of principal diagnosis, but is there a respiratory diagnosis that might meet two or more conditions present on admit both meeting guidelines for principal diagnosis.


    Dorie Douthit, RHIT,CCS
    ddouthit@stmarysathens.org
  • edited May 2016
    I am wondering if you were asking if there was a way to get to DRG 870? There is not a way that I know of.
    112.5, 995.91 + 96.72 = DRG 867.

    Sharon Salinas, CCS
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    ssalinas@barlow2000.org
  • edited May 2016
    Agree!
    According to the I-9 Guidelines for Coding & Reporting,pg.16, the candidasis 112.5 when caused by sepsis and POA must be the principal followed by the 995.52 + 518.81. I am assuming the pt. was on the vent for ARF (518.81) As someone else replied....vent code is 96.72.

    Jolene File,RHIT,CCS,CPC-H,CCDS
    Documentation Improvement Specialist-Coder
    Hays Medical Center
    jolene.file@haysmed.com

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