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Home/Diagnosis/ICD-10 Coding for Sepsis Unspecified (A41.9)

ICD-10 Coding for Sepsis Unspecified (A41.9)

A41.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for sepsis unspecified (a41.9) includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Septicemia
Systemic Inflammatory Response Syndrome (SIRS)
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Key Information: ICD-10 Coding for Sepsis Unspecified (A41.9)

Essential facts and insights about ICD-10 Coding for Sepsis Unspecified (A41.9)

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

clinical:
  • • Presence of clinical indicators such as fever, elevated lactate, and tachycardia
documentation:
  • • Explicit documentation of 'sepsis' by the provider

Applicable To

  • • Septicemia NOS

Important Notes

  • • Ensure that sepsis is explicitly documented by the provider and not inferred from clinical criteria alone.
Ancillary Codes

Additional codes that may be used with this diagnosis

R65.20

Severe sepsis without septic shock

Use when severe sepsis is documented without septic shock.

R65.21

Severe sepsis with septic shock

Use when septic shock is documented.

Frequently Asked Questions

What is the ICD-10 code for sepsis unspecified?

The ICD-10 code for sepsis unspecified is A41.9. It is used when sepsis is documented without a specified causative organism.

Can sepsis be coded if blood cultures are negative?

Yes, sepsis can be coded as A41.9 if the provider explicitly documents sepsis despite negative blood cultures.

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