ICD-10 Diagnosis Code R65.21

Severe sepsis with septic shock

Diagnosis Code R65.21

ICD-10: R65.21
Short Description: Severe sepsis with septic shock
Long Description: Severe sepsis with septic shock
This is the 2017 version of the ICD-10-CM diagnosis code R65.21

Valid for Submission
The code R65.21 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.
Diagnostic Related Groups
The diagnosis code R65.21 is grouped in the following Diagnostic Related Group(s) (MS-DRG v33.0)

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

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
  • Endotoxemia
  • Endotoxic shock
  • Endotoxicosis
  • Failed attempted abortion complicated by shock
  • Failed attempted abortion with septic shock
  • Gram-positive septic shock
  • Hyperdynamic septic shock
  • Hypodynamic septic shock
  • Illegal abortion complicated by shock
  • Illegal abortion with septic shock
  • Induced termination of pregnancy complicated by septic shock
  • Induced termination of pregnancy complicated by septic shock
  • Induced termination of pregnancy complicated by septic shock
  • Induced termination of pregnancy complicated by shock
  • Induced termination of pregnancy complicated by shock
  • Induced termination of pregnancy complicated by shock
  • Legal abortion complicated by shock
  • Legal abortion with septic shock
  • Miscarriage complicated by shock
  • Miscarriage with septic shock
  • Pyrogenic shock
  • Septic shock
  • Septic shock co-occurrent with acute organ dysfunction caused by anaerobic bacteria
  • Septic shock co-occurrent with acute organ dysfunction caused by Haemophilus influenzae
  • Septic shock co-occurrent with acute organ dysfunction caused by Meningococcus
  • Septic shock co-occurrent with acute organ dysfunction caused by methicillin resistant Staphylococcus aureus
  • Septic shock co-occurrent with acute organ dysfunction caused by methicillin susceptible Staphylococcus aureus
  • Septic shock co-occurrent with acute organ dysfunction caused by Pneumococcus
  • Septic shock co-occurrent with acute organ dysfunction caused by Pseudomonas
  • Septic shock co-occurrent with acute organ dysfunction caused by Serratia
  • Septic shock co-occurrent with acute organ dysfunction caused by Streptococcus
  • Septic shock co-occurrent with acute organ dysfunction due to Chromobacterium
  • Septic shock co-occurrent with acute organ dysfunction due to coagulase-negative Staphylococcus
  • Septic shock co-occurrent with acute organ dysfunction due to Enterococcus
  • Septic shock co-occurrent with acute organ dysfunction due to Gonococcus
  • Septic shock co-occurrent with acute organ dysfunction due to Gram-positive coccus
  • Septic shock co-occurrent with acute organ dysfunction due to Group A streptococcus
  • Septic shock co-occurrent with acute organ dysfunction due to Group B streptococcus
  • Septic shock due to transfusion
  • Septic shock following molar AND/OR ectopic pregnancy
  • Shock following molar AND/OR ectopic pregnancy

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
  • Group B streptococcal septicemia of the newborn
  • Neonatal sepsis
  • Sepsis
  • Septic shock
  • Septicemia
  • Toxic shock syndrome


[Read More]

Shock

Shock happens when not enough blood and oxygen can get to your organs and tissues. It causes very low blood pressure and may be life threatening. It often happens along with a serious injury.

There are several kinds of shock. Hypovolemic shock happens when you lose a lot of blood or fluids. Causes include internal or external bleeding, dehydration, burns, and severe vomiting and/or diarrhea. Septic shock is caused by infections in the bloodstream. A severe allergic reaction can cause anaphylactic shock. An insect bite or sting might cause it. Cardiogenic shock happens when the heart cannot pump blood effectively. This may happen after a heart attack. Neurogenic shock is caused by damage to the nervous system.

Symptoms of shock include

  • Confusion or lack of alertness
  • Loss of consciousness
  • Sudden and ongoing rapid heartbeat
  • Sweating
  • Pale skin
  • A weak pulse
  • Rapid breathing
  • Decreased or no urine output
  • Cool hands and feet

Shock is a life-threatening medical emergency and it is important to get help right away. Treatment of shock depends on the cause.

NIH: National Heart, Lung, and Blood Institute

  • Anaphylaxis
  • Cardiogenic shock
  • Hypovolemic shock
  • Septic shock
  • Shock


[Read More]
Previous Code
Previous Code R65.20
Next Code
R68 Next Code