AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; Ask the Editor

Clarification of Severe Sepsis Guideline

Please advise which guidelines apply when coding sepsis with organ dysfunction. Should we follow the coding convention “with” and assume a causal relationship? Alternatively, are the chapter specific guidelines for sepsis more appropriate? Does the physician need to document the relationship between sepsis and organ dysfunction? The guidelines appears to conflict with the coding convention in the classification. Per the instructions in the guidelines, the conventions in classification take precedence. ...

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