ICD-10 Diagnosis Code R65.20

Severe sepsis without septic shock

Diagnosis Code R65.20

ICD-10: R65.20
Short Description: Severe sepsis without septic shock
Long Description: Severe sepsis without septic shock
This is the 2018 version of the ICD-10-CM diagnosis code R65.20

Valid for Submission
The code R65.20 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • General symptoms and signs (R50-R69)
      • Symp and signs specifically assoc w sys inflam and infct (R65)

Information for Medical Professionals

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Code Edits
The following edits are applicable to this code:
Unacceptable principal diagnosis Additional informationCallout TooltipUnacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.


Diagnostic Related Groups
The diagnosis code R65.20 is grouped in the following Diagnostic Related Group(s) (MS-DRG V34.0)

  • 870 - SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
  • 871 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC
  • 872 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC

Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Synonyms
  • Sepsis syndrome
  • Sepsis-associated organ dysfunction
  • Severe sepsis with acute organ dysfunction caused by anaerobic bacteria
  • Severe sepsis with acute organ dysfunction caused by Gram-negative bacteria
  • Severe sepsis with acute organ dysfunction caused by Haemophilus influenzae
  • Severe sepsis with acute organ dysfunction caused by Meningococcus
  • Severe sepsis with acute organ dysfunction caused by methicillin resistant Staphylococcus aureus
  • Severe sepsis with acute organ dysfunction caused by methicillin susceptible Staphylococcus aureus
  • Severe sepsis with acute organ dysfunction caused by Pneumococcus
  • Severe sepsis with acute organ dysfunction caused by Pseudomonas
  • Severe sepsis with acute organ dysfunction caused by Salmonella
  • Severe sepsis with acute organ dysfunction caused by Serratia
  • Severe sepsis with acute organ dysfunction caused by Staphylococcus
  • Severe sepsis with acute organ dysfunction caused by Streptococcus
  • Severe sepsis with acute organ dysfunction due to coagulase negative Staphylococcus
  • Severe sepsis with acute organ dysfunction due to Group A streptococcus
  • Severe sepsis with acute organ dysfunction due to Group B streptococcus

Index of Diseases and Injuries
References found for the code R65.20 in the Index of Diseases and Injuries:


Information for Patients


Sepsis

Sepsis is a serious illness. It happens when your body has an overwhelming immune response to a bacterial infection. The chemicals released into the blood to fight the infection trigger widespread inflammation. This leads to blood clots and leaky blood vessels. They cause poor blood flow, which deprives your body's organs of nutrients and oxygen. In severe cases, one or more organs fail. In the worst cases, blood pressure drops and the heart weakens, leading to septic shock.

Anyone can get sepsis, but the risk is higher in

  • People with weakened immune systems
  • Infants and children
  • The elderly
  • People with chronic illnesses, such as diabetes, AIDS, cancer, and kidney or liver disease
  • People suffering from a severe burn or physical trauma

Common symptoms of sepsis are fever, chills, rapid breathing and heart rate, rash, confusion, and disorientation. Doctors diagnose sepsis using a blood test to see if the number of white blood cells is abnormal. They also do lab tests that check for signs of infection.

People with sepsis are usually treated in hospital intensive care units. Doctors try to treat the infection, sustain the vital organs, and prevent a drop in blood pressure. Many patients receive oxygen and intravenous (IV) fluids. Other types of treatment, such as respirators or kidney dialysis, may be necessary. Sometimes, surgery is needed to clear up an infection.

NIH: National Institute of General Medical Sciences

  • Blood culture (Medical Encyclopedia)
  • Group B streptococcal septicemia of the newborn (Medical Encyclopedia)
  • Neonatal sepsis (Medical Encyclopedia)
  • Sepsis (Medical Encyclopedia)
  • Septic shock (Medical Encyclopedia)
  • Septicemia (Medical Encyclopedia)
  • Toxic shock syndrome (Medical Encyclopedia)


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