AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 3; Ask the Editor

Systemic Inflammatory Response Syndrome (SIRS) due to Pneumonia without Sepsis

A 68-year-old male presents to our facility with symptoms of malaise, fatigue and fever. The patient was diagnosed with systemic inflammatory response syndrome (SIRS). However, he did not have sepsis. The provider listed “SIRS secondary to pneumonia,” in his diagnostic statement. My particular encoder is directing me to the sepsis code. ICD-10-CM does not seem to have a code for SIRS due to infectious process. How should we report SIRS due to pneumonia? ...

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