SEPTICEMIA

Note: This information has been superceded by Coding Clinic, Fourth Quarter 2003 pages 79-81. Infection involves the presence of organisms in a normally sterile site, which is usually, but not necessarily accompanied by host inflammatory response. Septicemia, also called sepsis, implies greater severity, the release of toxins into the bloodstream, and the presence of bacteria in the blood. Bacteria may enter the bloodstream from an infected area of the body or after an injury or a surgical procedure and may lead to multiple organ failure. Sepsis involves clinical evidence of infection, and evidence of systemic response to infection. Systemic...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews septicemia and related infectious conditions in the context of Coding Clinic guidance. It explains how the topic has been discussed over time, highlights the importance of physician documentation, and summarizes general issues involving septic shock, negative blood cultures, bacteremia, urosepsis, and related clinical terminology. The article is intended for coding professionals who need to understand the scope of the subject and the types of documentation questions that can arise.

Why This Topic Matters

Septicemia and related terms are often used inconsistently in clinical documentation. This article helps readers recognize the broader coding and documentation issues surrounding these diagnoses and understand why specific physician clarification may be needed.

Article Sections

  1. Overview of septicemia and sepsis

    Introduces the general topic and discusses how septicemia, sepsis, and systemic infection have been described in Coding Clinic guidance. It also emphasizes the role of physician documentation.

  2. Septicemia and septic shock

    Covers the relationship between septicemia, sepsis, septic shock, and severe systemic illness. It includes references to historical Coding Clinic guidance and broader clinical context.

  3. Sepsis syndrome

    Summarizes the syndrome-level discussion associated with septicemia and organ perfusion concerns. It references related clinical indicators and the role of systemic inflammatory response.

  4. Septicemia diagnosis with negative blood cultures

    Discusses how suspected septicemia may be documented even when blood cultures are not supportive. It addresses the general issue of culture results and clinical evidence.

  5. Bacteremia

    Distinguishes bacteremia from septicemia in general terms and notes the importance of clarifying documentation when the diagnosis is not clearly differentiated.

  6. Urosepsis

    Addresses site-specific or organ-specific sepsis terminology and the need for clarification when the wording is imprecise. It also places the topic in the context of urinary-system infection.

  7. Additional information on septicemia

    Lists earlier Coding Clinic references related to septicemia and related infectious conditions. This section serves as a bibliography-style guide to prior discussion.

What You Will Learn

  • How the article frames septicemia, sepsis, septic shock, and bacteremia.
  • Why documentation clarity matters in infectious disease coding topics.
  • What general issues are discussed regarding negative blood cultures and site-specific terminology.
  • How Coding Clinic references are used to support understanding of related conditions.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Health information management professionals
  • Clinical documentation specialists
  • Coding educators

Codes Discussed

  • ICD-9-CM: 038.9
  • ICD-9-CM: 785.59
  • ICD-9-CM: 995.9X
  • ICD-9-CM: 038.11
  • ICD-9-CM: 038.19
  • ICD-9-CM: 112.5
  • ICD-9-CM: 054.5
  • ICD-9-CM: 599.0

Code Ranges Discussed

  • ICD-9-CM: 038

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