Severe Sepsis POA, Septic Shock NOT POA
If any part of the conditions reflected in the combination code were not POA, POA is NO. Does this apply to the R65.21 Severe Sepsis with Septic shock code? So for example, When Severe Sepsis is documented and supported as POA but Septic Shock is NOT POA- the code is R65.21 Severe Sepsis with septic shock is assigned a POA of No.
The Pneumonia Mortality Measure reflects-Principal discharge diagnosis codes included in the cohort if combined with a secondary diagnosis of pneumonia coded as POA AND No secondary diagnosis of severe sepsis codes as POA is present. If patient presents with Severe Sepsis with Pneumonia and on day 2 of admission develops hypotension and put on pressors. CDI queries for septic shock-this patient would fall into the Pneumonia Mortality Measure since the R65.21 Severe Sepsis with septic shock has a POA of NO?