DocScrib
How it WorksPricingBlog
Sign InSign UpBook a Demo
DocScrib

AI-powered medical documentation platform streamlining healthcare workflows through intelligent transcription and clinical note generation.

Book a Demo

Product

  • Medical Templates
  • Pricing
  • Integrations
  • Security & Compliance

Resources

  • Blog
  • Documentation
  • Case Studies

Contact

  • support@docscrib.com
  • +1 (555) 123-4567
  • 123 Healthcare Blvd
    Medical District, CA 90210
© 2025 DocScrib. All rights reserved.
Privacy PolicyTerms of ServiceCookie Policy
Home/Diagnosis/ICD-10 Coding for Sepsis

ICD-10 Coding for Sepsis

A41.9
R65.20

Complete ICD-10-CM coding and documentation guide for icd-10 coding for sepsis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Septicemia
Blood poisoning
Join 10,000+ Happy Clinicians

The AI Medical Scribe for Happiest Clinicians

Save 2+ hours daily with instant clinical documentation.
Our AI scribe listens, understands, and generates comprehensive medical notes so you can focus on patient care.

Start Free Trial
No credit card required•HIPAA compliant
Recording Controls
Start recording to see live transcription
Live Conversation - Try For Free!
Real-time transcription with automatic speaker identification

Ready to Record

Start recording to see live conversation transcription

Key Information: ICD-10 Coding for Sepsis

Essential facts and insights about ICD-10 Coding for Sepsis

Use ICD-10 code A41.9 for sepsis, unspecified organism, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sepsis, unspecified organism

Billable Code
A41.9
Billable

Diagnostic Criteria

  • • Presence of systemic infection signs and symptoms.

Applicable To

  • • Septicemia NOS

Important Notes

  • • Ensure documentation specifies 'sepsis' and not vague terms like 'urosepsis'.

Severe sepsis without septic shock

Billable Code
R65.20
Billable

Diagnostic Criteria

  • • Lactate ≥2 mmol/L
  • • qSOFA ≥2
  • • Documented organ dysfunction

Applicable To

  • • Severe sepsis NOS

Important Notes

  • • Ensure organ dysfunction is clearly linked to sepsis in documentation.
Ancillary Codes

Additional codes that may be used with this diagnosis

J18.9

Pneumonia, unspecified organism

Use to specify the infection source when sepsis is due to pneumonia.

N17.9

Acute kidney failure, unspecified

Use to specify organ dysfunction in severe sepsis.

Frequently Asked Questions

What is the ICD-10 code for sepsis?

The ICD-10 code for sepsis, unspecified organism, is A41.9. It is used when the specific organism causing sepsis is not documented.

How is severe sepsis coded in ICD-10?

Severe sepsis is coded using R65.20 for cases without septic shock and R65.21 for cases with septic shock, requiring documentation of organ dysfunction.

Quick Navigation
All DiagnosesICD-10 Codes

Related Resources

How Medical Coding WorksBrowse All Codes