AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor

Sepsis due to Multiple Possible Causes

A patient presents to the emergency department in severe respiratory distress due to possible aspiration. The patient was also noted to be septic on arrival due to pneumonia and Citrobacter urinary tract infection (UTI) associated with an indwelling suprapubic catheter. The patient was subsequently admitted, intubated and placed on a ventilator. The provider diagnosed sepsis due to catheter associated urinary tract infection (CAUTI), as well as due to “community acquired pneumonia due to aspiration.” Should sepsis due to a post procedural infection be sequenced first or should sepsis due to a localized infection be sequenced as the principal diagnosis, or is the aspiration pneumonia the principal diagnosis? ...

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