Complete ICD-10-CM coding and documentation guide for icd-10 coding for septic shock includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Septic Shock
Use ICD-10 code R65.21 for severe sepsis with septic shock, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Sepsis, unspecified organism
Use to identify the underlying infection when the organism is unspecified.
Acute kidney failure, unspecified
Use when acute kidney injury is documented as a complication of septic shock.
The ICD-10 code for septic shock is R65.21, which is used when severe sepsis is accompanied by shock.
Septic shock should be documented with explicit mention of shock, hypotension unresponsive to fluids, lactate ≥4 mmol/L, and vasopressor use.