AHA Coding Clinic® for ICD-9 - 2012 Issue 3; Ask the Editor

Sepsis due to Candida Albicans Urinary Tract Infection

This 73-year-old patient presented with fever. Blood cultures were positive for Candida albicans and the patient received antifungal therapy. In the final diagnostic statement, the provider listed sepsis due to urinary tract yeast (Candida) infection. She also had an obstructing kidney stone and hydronephrosis and a nephrostomy tube was placed prior to the current admission. Which would be the principal diagnosis, unspecified sepsis (038.9), disseminated candidiasis (112.5) or candidiasis of urogenital site (112.2)? Is code 995.91, Sepsis, appropriate as a secondary code assignment? ...

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