SIRS with multiple possible underlying causes??
I am not sure how to apply the coding guidelines to a particular case. We have a patient that came in with SIRS. She also has metastatic colon cancer and has had numerous complications related to this with multiple back-to-back admissions.
For this particular admission they did a full workup and are fairly confident there was no infectious source of the SIRS but are not sure what the source is. Possible sources include Cancer/mets or a side effect from radiation coil treatment.
I am getting hung up on this because the underlying cause of the SIRS should be PDX. If both the coil treatment or the cancer could be the underlying cause, then can either be Pdx? Any ideas on how to code out the possible side effect of the coil treatment as well?
Thanks in advance!
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
For this particular admission they did a full workup and are fairly confident there was no infectious source of the SIRS but are not sure what the source is. Possible sources include Cancer/mets or a side effect from radiation coil treatment.
I am getting hung up on this because the underlying cause of the SIRS should be PDX. If both the coil treatment or the cancer could be the underlying cause, then can either be Pdx? Any ideas on how to code out the possible side effect of the coil treatment as well?
Thanks in advance!
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