Category: R65 - Symptoms and signs specifically associated with systemic inflammation and infection

 Chapter Notes

 R65

Symptoms and signs specifically associated with systemic inflammation and infection

 R65.1

Systemic inflammatory response syndrome (SIRS) of non-infectious origin

Code first underlying condition, such as:

heatstroke (T67.0-)

injury and trauma (S00-T88)

sepsis- code to infection

severe sepsis (R65.2)

 R65.10

Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction

Systemic inflammatory response syndrome (SIRS) NOS

 R65.11

Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction

Use additional 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-)

 R65.2

Severe sepsis

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 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-)

 R65.20

Severe sepsis without septic shock

Severe sepsis NOS

 R65.21

Severe sepsis with septic shock