Disseminated candidiasis
We have a case we haven't seen before, looking for feedback:
We have a patient admitted for sepsis is due to the candida. He went on the vent for >96 hours. Is there any way to capture the vent with this diagnosis? I believe the principal has to be 112.5, Disseminated candidiasis.
Thanks-
Robin
Robin Van Vught, RN
Clinical Documentation Specialist
Meriter Hospital
608-417-7593
rvanvught@meriter.com
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We have a patient admitted for sepsis is due to the candida. He went on the vent for >96 hours. Is there any way to capture the vent with this diagnosis? I believe the principal has to be 112.5, Disseminated candidiasis.
Thanks-
Robin
Robin Van Vught, RN
Clinical Documentation Specialist
Meriter Hospital
608-417-7593
rvanvught@meriter.com
Confidentiality Notice follows:
The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you.
Comments
Paul Evans, RHIA, CCS, CCS-P, CCDS
Is sepsis due to candida going to be your principal? If so, then unfortunately you will group to DRG 869-867. Candidiasis groups to a mycoses infection and not a bacterial infection. Sepsis guidelines are pretty specific about assignment of principal diagnosis, but is there a respiratory diagnosis that might meet two or more conditions present on admit both meeting guidelines for principal diagnosis.
Dorie Douthit, RHIT,CCS
ddouthit@stmarysathens.org
112.5, 995.91 + 96.72 = DRG 867.
Sharon Salinas, CCS
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
ssalinas@barlow2000.org
According to the I-9 Guidelines for Coding & Reporting,pg.16, the candidasis 112.5 when caused by sepsis and POA must be the principal followed by the 995.52 + 518.81. I am assuming the pt. was on the vent for ARF (518.81) As someone else replied....vent code is 96.72.
Jolene File,RHIT,CCS,CPC-H,CCDS
Documentation Improvement Specialist-Coder
Hays Medical Center
jolene.file@haysmed.com
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