RE: Septicemia vs. sepsis
Septicemia is just a more general term than bacteremia and by definition
is more serious. The MedlinePlus Medical Dictionary defines septicemia
as "invasion of the bloodstream by virulent microorganisms (as bacteria,
viruses, or fungi) from a focus of infection that is accompanied by
acute systemic illness - called also blood poisoning". Bacteremia is
defined as "the usually transient presence of bacteria in the blood."
I would not stop querying for septicemia, but it may meet the criteria
of Sepsis also since the conditions are similar though the definitions
are different.
Robert
Robert S. Hodges, BSN, MSN, RN, CCDS
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602
P: 989-497-2500 x13101
F: 989-321-4912
E: Robert.Hodges2@va.gov
"The difference between the right word and the almost right word is the
difference between lightning and the lightning bug." Samuel "Mark Twain"
Clemens
"This email is intended only for the use of the person or office to
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From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, May 19, 2011 4:32 PM
To: Hodges, Robert
Subject: RE: [cdi_talk] Septecemia vs sepsis
So are we encouraging the docs to not even document septicemia?
________________________________
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Monday, May 16, 2011 7:06 AM
To: Stewart, Patti
Subject: RE: [cdi_talk] Septecemia vs sepsis
Here is my bacteremia/SIRS/Sepsis query. Hope it helps. You may also
want to document if the Lactic Acid level is elevated and ask the
clinical significance of that.
Robert
Robert S. Hodges, BSN, MSN, RN, CCDS
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602
P: 989-497-2500 x13101
F: 989-321-4912
E: Robert.Hodges2@va.gov
"The difference between the right word and the almost right word is the
difference between lightning and the lightning bug." Samuel "Mark Twain"
Clemens
"This email is intended only for the use of the person or office to
which it is addressed and may contain information that is privileged,
confidential, or protected by law. All others are hereby notified that
the receipt of this email does not waive any applicable privilege or
exemption for disclosure and that any dissemination, distribution, or
copying of this communication is prohibited. If you have received this
email in error, please notify this office immediately at the telephone
number listed above."
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Friday, May 13, 2011 5:10 PM
To: Hodges, Robert
Subject: [cdi_talk] Septecemia vs sepsis
I need to leave a query for a physician regarding the diagnosis of
Strep. Septicemia. This patient came in with fatigue and cellulitis of
the arm. The blood cultures were done on admit, and the following day
they were positive and the diagnosis of Strep.Septicemia was made.
I am trying to figure out how to word the query asking him if the
patient had sepsis.
Any help would be appreciated.
Thanks,
Patti
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is more serious. The MedlinePlus Medical Dictionary defines septicemia
as "invasion of the bloodstream by virulent microorganisms (as bacteria,
viruses, or fungi) from a focus of infection that is accompanied by
acute systemic illness - called also blood poisoning". Bacteremia is
defined as "the usually transient presence of bacteria in the blood."
I would not stop querying for septicemia, but it may meet the criteria
of Sepsis also since the conditions are similar though the definitions
are different.
Robert
Robert S. Hodges, BSN, MSN, RN, CCDS
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602
P: 989-497-2500 x13101
F: 989-321-4912
E: Robert.Hodges2@va.gov
"The difference between the right word and the almost right word is the
difference between lightning and the lightning bug." Samuel "Mark Twain"
Clemens
"This email is intended only for the use of the person or office to
which it is addressed and may contain information that is privileged,
confidential, or protected by law. All others are hereby notified that
the receipt of this email does not waive any applicable privilege or
exemption for disclosure and that any dissemination, distribution, or
copying of this communication is prohibited. If you have received this
email in error, please notify this office immediately at the telephone
number listed above."
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, May 19, 2011 4:32 PM
To: Hodges, Robert
Subject: RE: [cdi_talk] Septecemia vs sepsis
So are we encouraging the docs to not even document septicemia?
________________________________
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Monday, May 16, 2011 7:06 AM
To: Stewart, Patti
Subject: RE: [cdi_talk] Septecemia vs sepsis
Here is my bacteremia/SIRS/Sepsis query. Hope it helps. You may also
want to document if the Lactic Acid level is elevated and ask the
clinical significance of that.
Robert
Robert S. Hodges, BSN, MSN, RN, CCDS
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602
P: 989-497-2500 x13101
F: 989-321-4912
E: Robert.Hodges2@va.gov
"The difference between the right word and the almost right word is the
difference between lightning and the lightning bug." Samuel "Mark Twain"
Clemens
"This email is intended only for the use of the person or office to
which it is addressed and may contain information that is privileged,
confidential, or protected by law. All others are hereby notified that
the receipt of this email does not waive any applicable privilege or
exemption for disclosure and that any dissemination, distribution, or
copying of this communication is prohibited. If you have received this
email in error, please notify this office immediately at the telephone
number listed above."
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Friday, May 13, 2011 5:10 PM
To: Hodges, Robert
Subject: [cdi_talk] Septecemia vs sepsis
I need to leave a query for a physician regarding the diagnosis of
Strep. Septicemia. This patient came in with fatigue and cellulitis of
the arm. The blood cultures were done on admit, and the following day
they were positive and the diagnosis of Strep.Septicemia was made.
I am trying to figure out how to word the query asking him if the
patient had sepsis.
Any help would be appreciated.
Thanks,
Patti
---
CDI Talk is offered for networking purposes. For official rules and
regulations related to documentation and coding, please refer to your
regulatory source.
You are receiving this message as a member of CDI Talk as:
robert.hodges2@va.gov
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to
leave-cdi_talk-10741982.fced5831ab44431e3f844a057071eb02@hcprotalk.com
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Copyright 2010
HCPro, Inc., 200 Hoods Lane, Marblehead, MA 01945
---
CDI Talk is offered for networking purposes. For official rules and
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---
CDI Talk is offered for networking purposes. For official rules and
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Copyright 2010
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Comments
in the blood, not the urine. A UTI is 599.0. Bacteremia is 790.7.
I think you meant to say bacteriuria which codes to 791.7, but people
can have asymptomatic bacteriuria that is not treated. Bacteriuria does
not automatically mean a UTI.
Robert
Robert S. Hodges, BSN, MSN, RN, CCDS
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602
P: 989-497-2500 x13101
F: 989-321-4912
E: Robert.Hodges2@va.gov
Shelia Bullock, RN, BSN, MBA, CCM, CCDS
Director, Clinical Documentation Improvement
University of Mississippi Health Care
2500 North State Street
Room H139
Jackson, MS 39216
T: 601-815-3079 P: 601-815-3079 F: 601-815-9505
sabullock@umc.edu
umhc.com
________________________________
From: CDI Talk [cdi_talk@hcprotalk.com]
Sent: Friday, May 20, 2011 7:20 AM
To: Shelia A Bullock
Subject: RE: [cdi_talk] Septicemia vs. sepsis
Septicemia is just a more general term than bacteremia and by definition is more serious. The MedlinePlus Medical Dictionary defines septicemia as
Renee
Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center
.
Shelia