SIRS with acute organ dysfunction based upon high lactic acidosis and acute renal insufficiency

Christina_Brown@bshsi.orgChristina_Brown@bshsi.org
in Clinical & Coding

We are questioning if code R65.11, Systemic inflammatory response syndrome (sirs) of non-infectious origin with acute organ dysfunction, is appropriate for reporting in this case scenario.  Does the Discharge Summary documentation of “suspect lactic acidosis exacerbated by copd exacerbation, metformin use, and acute renal insufficiency due to increased diuretic use PTA.  Lactate normalized with IVF” .....provide the SIRS/organ dysfunction correlation?

Comments

  • lprescott1lprescott1
    It is worth considering- did your patient exhibit any of the presenting symptoms related to SIRS-
    leukocytosis/leukopenia, variances in temperature, tachycardia, tachypnea?
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