Hi. I have a question with coding severe sepsis. When the documentation only states "renal failure determined to be due to her sepsis" and the renal failure was not specified as acute or chronic, and nowhere in the documentation stating severe sepsis, can we still code for the severe sepsis? Thank you.
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Wiki Help with severe sepsis code
- Thread starter s0lace
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mitchellde
True Blue
If there is nothing in the documentation to support this diagnosis then how was it determined?
Oh. It was a multiple choice question. One of the choices has a severe sepsis code on it and the other one doesn't have. I chose the one which doesn't have the severe sepsis code, just the sepsis code and I got it wrong. The correct answer was the severe sepsis code. Thank you.
Cynthia Hughes
Expert
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ICD-10-CM guideline - IC1d(a)(iii)Sepsis with organ dysfunction If a patient has sepsis and associated acute organ dysfunction or multiple organ dysfunction (MOD), follow the instructions for coding severe sepsis.
Association is documented in "determined to be due to her sepsis."
Association is documented in "determined to be due to her sepsis."