Question

A patient is admitted with a high temperature, lethargy, hypotension, tachycardia, oliguria, and elevated WBC. The patient also has more than 100,000 organisms of Escherichia coli per cc of urine. The attending physician documents "urosepsis." What is the next step for the coder?

Answer 1

Urosepsis is a severe infection that occurs when a urinary tract infection spreads to the bloodstream. The appropriate ICD-10 code for urosepsis is R65.11.

Step-by-step explanation:

Based on the patient's symptoms and laboratory findings, the attending physician has diagnosed the patient with urosepsis. Urosepsis is a severe infection that occurs when a urinary tract infection (UTI) spreads to the bloodstream. The next step for the coder would be to assign the appropriate ICD-10 code for urosepsis, which is R65.11. This code should be included in the patient's medical record and billing documentation.