AHA Coding Clinic® for ICD-9 - 2011 Issue 3; Clarifications

Sepsis Due to a Localized Infection

A 45-year-old patient was admitted with mental status changes. She had a long-standing history of methicillin resistant Staphylococcus aureus (MRSA) osteomyelitis of the ankle and end-stage renal failure (ESRD), receiving hemodialysis. Laboratory workup showed a white count of 28,000 and blood cultures positive for MRSA. The provider determined that the patient's mental status change was due to sepsis and his final diagnostic statement listed, "sepsis secondary to osteomyelitis." What is the appropriate sequencing of the principal diagnosis, the localized infection (osteomyelitis) or the systemic infection (sepsis)? How are coders to determine whether the localized infection is the underlying cause of the sepsis? ...

To read the full article, sign in and subscribe to AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS .

  • The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
  • Current newsletters added each quarter
  • Full Archives - over 3100 articles
  • ALL years/issues back to 1984 organized by year and issue
  • Includes ICD-10-CM/PCS Articles since 2013
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - ICD-10-CM/PCS +Archives

free demo
request yours today
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.