AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 1; Ask the Editor

Postprocedural Sepsis and Postprocedural Intra-Abdominal Abscess

A patient who is status post a recent coronary artery bypass graft (CABG) procedure was admitted with progressive purulent drainage from the surgical wound. The provider documented “sepsis due to staphylococcus pyogenes deep operative wound infection, status post CABG.” In this case, would code T81.40XA, Infection following a procedure, unspecified, initial encounter, be assigned with code T81.44XA, Sepsis following a procedure, initial encounter? Code T81.40XA does not provide any additional information regarding the depth of the surgical site infection. ...

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