AHA Coding Clinic® for ICD-9 - 2010 Issue 1; Ask the Editor

Systemic Inflammatory Response Syndrome (SIRS) Due to Noninfectious Condition

Please clarify the Official Guideline for Coding and Reporting SIRS due to noninfectious process. The guideline states that systemic inflammatory response syndrome (SIRS) can develop as a result of certain noninfectious disease processes, such as trauma, malignant neoplasm, or pancreatitis. A physician at our hospital stated that acute pancreatitis is an inflammation of the pancreas that can occur with infection. Acute pancreatitis is usually caused by gallstones or by drinking too much alcohol, but these aren’t the only causes. If the guideline is accurate, could it be applied to other inflammatory conditions, such as diverticulitis, cholangitis, orchitis, et cetera? ...

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