PNA and Sepsis

Ok my friends. How are you handling Asp PNA , Pneumonia, Pneumoitis vs
Sepsis as a principal DX. Also, how often are you coding sepsis with
these diagnoses? Im trying to get more definitive criteria for these.



Deanne Wilk




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Comments

  • We often see sepsis associated with each of those dx. In those cases, of course sepsis is the pdx per coding guidelines.

    We absolutely query for sepsis when the clinical indicators are present (even when associated with Asp PNA, expecting that there will be a decrease in the RW (placing each pt in the correct bucket, with complete and accurate documentation so that the coding data paints an accurate picture of the patient)).

    Reference the Surviving sepsis campaign for the most update clinical literature reference for sepsis.
    Attached is based on the SSC article.

    Don

    Donald A. Butler, RN, BSN
    Manager, Clinical Documentation Advisor Program
    Vidant Health, Greenville NC
    DButler@vidanthealth.com ( mailto:mDButler@vidanthealth.com )


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