Minnesota Hospital Association
8577580-109220Sepsis coding/documentation tool: SIRS, Sepsis, Severe Sepsis and Septic ShockKey PointsSepsisSevere SepsisSeptic ShockBacteremia is the presence of viable bacteria in the blood.Systemic inflammatory response syndrome (SIRS) is a syndrome that is the consequence of a dysregulated inflammatory response to an infectious or non-infectious insult. SIRS has routinely been associated with both infectious processes (sepsis) and noninfectious insults, such as an autoimmune disorder, pancreatitis, vasculitis, thromboembolism, burns, or surgery.Thus, when SIRS is suspected it should prompt an evaluation for a septic focus. SIRS Criteria: 2 or MoreTemp: < 97 (36C) or >100.4 (38C)Resp: > 20 breaths/minPulse: > 90 bpm WBC >12K or <4K or Bands >10%Systemic Inflammatory Response Syndrome (SIRS) due to infection: ICD-10 has no default code associated with this term, therefore the provider will be notified to clarify sepsis. Sepsis and bacteremia are not synonymous.Sepsis is the clinical syndrome that results from a dysregulated inflammatory response to an infection. It is defined as the presence (probable or documented) of infection together with systemic manifestations of infection.Diagnostic criteria for sepsis include infection (documented or suspected) and some of the following (See International Sepsis Definitions Conference for full list):Temp: < 97 (36C) or >100.4 (38C)Resp: > 20 breaths/minPulse: > 90 bpm WBC >12K or <4K or Bands >10%SBP <90 mmHg, MAP <70 mmHg, or a SBP decrease >40 mmHg in adults or < two standard deviations below normal for ageAltered mental statusSignificant edema or positive fluid balance (>20 mL/kg over 24 hours)Hyperglycemia (plasma glucose >140 mg/dL or 7.7 mmol/L) in the absence of diabetesHyperlactatemia (>3 mmol/l)Thrombocytopenia (platelet count <100,000/μl)Plasma C-reactive protein more than two standard deviations above the normal valueCreatinine increase >0.5 mg/dL Sepsis-induced tissue hypoperfusion or organ dysfunctionSepsis-induced hypotensionLactate above upper limits of laboratory normalUrine output <0.5 mL/kg/hr for more than two hours despite adequate fluid resuscitationAcute lung injury with PaO2/FIO2 <250 in the absence of pneumonia as infection sourceAcute lung injury with PaO2/FIO2 <200 in the presence of pneumonia as infection sourceCreatinine >2 mg/dL (176.8 micromol/L)Bilirubin >2 mg/dL (34.2 micromol/L)Platelet count <100,000 microL–1 Coagulopathy (INR >1.5) Sepsis-induced tissue hypoperfusion is defined as infection-induced hypotension, elevated lactate, or oliguria Multiple organ dysfunction syndrome refers to progressive organ dysfunction in an acutely ill patient, such that homeostasis cannot be maintained without intervention. Sepsis-induced hypotension persisting despite adequate fluid resuscitationSepsis-induced hypotension is defined as a systolic blood pressure (SBP) <90 mmHg or mean arterial pressure (MAP) <70 mmHg or a SBP decrease >40 mmHg or less than two standard deviations below normal for age in the absence of other causes of hypotension.References:Coding Clinic, 2Q 2012 p 21-22 Coding Clinic 2Q 2000 P 3-4Harrison’s Principles of Internal Medicine-17th Edition: Chapter 265. Severe Sepsis and Septic Shock.Levy MM, Fink MP, Marshall JC, et al.2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference . Neviere R, Parsons PE, Finlay G, “Sepsis and the systemic inflammatory response syndrome: Definitions, epidemiology, and prognosis.” Nov 14, 2013Urosepsis: ICD 9 = UTI ICD 10 = Should a provider use this term, a query for clarification is required. Sepsis Syndrome: The term is poorly defined. A query to the provider is required to determine the patient’s specific condition.Specific acute organ dysfunction must be documented as due to/associated with sepsis, septic shock or severe sepsis in order to assign the severe sepsis code ................
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