R65.2即将生效类别：需要更具体的编码

Severe sepsis

编码说明

Code first

underlying infection, such as:
infection following a procedure (T81.4-)
infections following infusion, transfusion and therapeutic injection (T80.2-)
puerperal sepsis (O85)
sepsis following complete or unspecified spontaneous abortion (O03.87)
sepsis following ectopic and molar pregnancy (O08.82)
sepsis following incomplete spontaneous abortion (O03.37)
sepsis following (induced) termination of pregnancy (O04.87)
sepsis NOS (A41.9)

Use additional code

code to identify specific acute organ dysfunction, such as:
acute kidney failure (N17.-)
acute respiratory failure (J96.0-)
critical illness myopathy (G72.81)
critical illness polyneuropathy (G62.81)
disseminated intravascular coagulopathy [DIC] (D65)
encephalopathy (metabolic) (septic) (G93.41)
hepatic failure (K72.0-)

Excludes 2 · 4

章节 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

更具体的编码

R65.20Severe sepsis without septic shock R65.21Severe sepsis with septic shock

账单与保险保障

何时必须使用ICD-10-CM

自2015年10月1日起，受HIPAA约束的美国诊断理赔必须使用ICD-10-CM。

门诊和专业服务理赔使用服务日期，住院理赔使用出院日期。此前的就诊使用ICD-9-CM；具体编码也必须在相应日期有效。

官方编码指南 → · CMS ↗

首次收录 · 2015-10-01

编码历史

最近记录的变更 · FY2017

已变更无变更

FY2017

生效日期 2016-10-01

编码说明变更

Severe sepsis

类别 — 请选择更具体的编码

CDC/NCHS · FY2017

所有版本 (19)

所有版本	生效日期	编码历史
FY2016	2015-10-01	首次收录
FY2017	2016-10-01	编码说明变更
FY2018	2017-10-01	分类表无变更
FY2019	2018-10-01	分类表无变更
FY2020	2019-10-01	分类表无变更
FY2020 · April	2020-04-01	分类表无变更
FY2021	2020-10-01	分类表无变更
FY2021 · 01-01	2021-01-01	分类表无变更
FY2022	2021-10-01	分类表无变更
FY2022 · 04-01	2022-04-01	分类表无变更
FY2023	2022-10-01	分类表无变更
FY2023 · 04-01	2023-04-01	分类表无变更
FY2024	2023-10-01	分类表无变更
FY2024 · 04-01	2024-04-01	分类表无变更
FY2025	2024-10-01	分类表无变更
FY2025 · 04-01	2025-04-01	分类表无变更
FY2026	2025-10-01	分类表无变更
FY2026 · April	2026-04-01	分类表无变更
FY2027	2026-10-01	分类表无变更

编码说明

Inclusion terms

Infection with associated acute organ dysfunction
Sepsis with acute organ dysfunction
Sepsis with multiple organ dysfunction
Systemic inflammatory response syndrome due to infectious process with acute organ dysfunction

Code first

underlying infection, such as:
infection following a procedure (T81.4-)
infections following infusion, transfusion and therapeutic injection (T80.2-)
puerperal sepsis (O85)
sepsis following complete or unspecified spontaneous abortion (O03.87)
sepsis following ectopic and molar pregnancy (O08.82)
sepsis following incomplete spontaneous abortion (O03.37)
sepsis following (induced) termination of pregnancy (O04.87)
sepsis NOS (A41.9)

Use additional code

code to identify specific acute organ dysfunction, such as:
acute kidney failure (N17.-)
acute respiratory failure (J96.0-)
critical illness myopathy (G72.81)
critical illness polyneuropathy (G62.81)
disseminated intravascular coagulopathy [DIC] (D65)
encephalopathy (metabolic) (septic) (G93.41)
hepatic failure (K72.0-)

上级编码说明

章节 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Note

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

更具体的编码

R65.20Severe sepsis without septic shock可计费的具体编码 R65.21Severe sepsis with septic shock可计费的具体编码

相关编码

同一类别的其他条目；并非可自动替换的编码。

编码	描述	类别：需要更具体的编码
R65.1	Systemic inflammatory response syndrome (SIRS) of non-infectious origin	类别：需要更具体的编码

官方名称和说明保留来源语言。官方来源 ↗

其他编码的引用 (11)

M35.81 · Multisystem inflammatory syndrome

Code also · severe sepsis (R65.2-)

O03.37 · Sepsis following incomplete spontaneous abortion

Use additional code · code to identify severe sepsis, if applicable (R65.2-)

O03.87 · Sepsis following complete or unspecified spontaneous abortion

Use additional code · code to identify severe sepsis, if applicable (R65.2-)

O04.87 · Sepsis following (induced) termination of pregnancy

Use additional code · code to identify severe sepsis, if applicable (R65.2-)

O07.37 · Sepsis following failed attempted termination of pregnancy