Concept |
Sepsis identified during a hospital stay, excluding neonatal sepsis. |
Notes |
This clinical group includes an episode of sepsis that developed in hospital; however, the infection which led to sepsis might have been acquired in the community or hospital.
|
Selection
Criteria |
|
Codes |
Conditions |
A40.–
A41.–
B37.7
R57.2
R65.1 |
Identified as diagnosis type (2)
OR
Identified as diagnosis type (3)
AND T80.2, T81.4, T82.6, T82.7–, T83.5, T83.6, T84.5–, T84.6–, T84.7, T85.7 or T88.0 as diagnosis type (2)
AND Y60–Y84
in the same diagnosis cluster
OR
Identified as diagnosis type (3)
AND O03.0, O03.5, O04.0, O04.5, O05.0, O05.5, O07.3 or O08.0– as diagnosis type (2)
on the same abstract
OR
Identified as diagnosis type (3)
AND O98.502 or O98.802 as diagnosis type (M), (1), (2), (W), (X) or (Y)
on the same abstract | |
O85.002 |
Identified as diagnosis type (M), (1), (2), (W), (X) or (Y) | |
R57.2 |
Identified as diagnosis type (3)
AND T81.1 as diagnosis type (2)
AND Y60–Y84
in the same diagnosis cluster | |
Exclusions | -
Abstracts with age on admission less than 1 year.
-
Abstracts with a length of stay less than 2 days
-
Abstracts with a most responsible diagnosis of palliative care (ICD-10-CA: Z51:5)
-
Abstracts where sepsis is also identified as a pre-admit condition are excluded from the numerator:
-
Abstracts with sepsis codes (ICD-10-CA: A40.–, A41.–, B37.7, R65.1, R57.2) or the associated post-procedural complication codes (ICD-10-CA: T80.2, T81.1, T81.4, T82.6, T82.7–, T83.5, T83.6, T84.5–, T84.6–, T84.7, T85.7, T88.0) identified as pre-admit [type (M), (1), (W), (X) or (Y)]
-
Abstract with sepsis in obstetric patients where the puerperal sepsis code or the associated obstetric infection code is identified as pre-admit [ICD-10-CA: O85.004, O85.009, O98.501, O98.503, O98.504, O98.509, O98.801, O98.803, O98.804, O98.809 — any diagnosis type
or O03.0, O03.5, O04.0, O04.5, O05.0, O05.5, O07.3, O08.0 as type (M), (1), (W), (X) or (Y)]
As an exception, sepsis is not considered as a pre-admit condition when the above codes identified as type (M), (W), (X) or (Y) also appear as type (2) or within a post-admit sepsis coding scenario (sepsis code as type (2); sepsis code as type (3) or an associated infection code as type (2) in sepsis as post-procedural or obstetric complications | |
Codes |
Code Description | |
a40 |
Streptococcal sepsis | |
A41.– |
Other sepsis | |
b37.7 |
Candidal sepsis | |
O03.0 |
Spontaneous abortion, incomplete, complicated by genital tract and pelvic infection |
O03.5 |
Spontaneous abortion, complete or unspecified, complicated by genital tract and
pelvic infection |
O04.0 |
Medical abortion, incomplete, complicated by genital tract and pelvic infection |
O04.5 |
Medical abortion, complete or unspecified, complicated by genital tract and pelvic infection |
O05.0 |
Other abortion, incomplete, complicated by genital tract and pelvic infection |
O05.5 |
Other abortion, complete or unspecified, complicated by genital tract and pelvic infection |
O07.3 |
Failed attempted abortion, complicated |
O08.0– |
Complications following abortion and ectopic and molar pregnancy; genital tract and pelvic infection |
O85.002 |
Puerperal sepsis, delivered with mention of postpartum complication |
O98.502 |
Other viral diseases complicating pregnancy, childbirth, and the puerperium; delivered with mention of postpartum complication |
O98.802 |
Other maternal infectious and parasitic diseases complicating pregnancy, childbirth, and the puerperium; delivered with mention of postpartum complication |
R57.2 |
Septic shock |
R65.1 |
Systemic inflammatory response syndrome of infectious origin with acute organ failure |
Additional Codes |
Inclusions |
T80.2 |
Infections following infusion, transfusion, and therapeutic injection |
T81.4 |
Infection following a procedure, not elsewhere classified |
T81.1 |
Shock during or resulting from a procedure, not elsewhere classified |
T82.6 |
Infection and inflammatory reaction due to cardiac valve prosthesis |
T82.7 |
Infection and inflammatory reaction due to other cardiac and vascular devices, implants, and grafts |
T83.5 |
Infection and inflammatory reaction due to prosthetic device, implant, and graft in urinary system |
T83.6 |
Infection and inflammatory reaction due to prosthetic device, implant, and graft in genital tract | |
T84.5– |
Infection and inflammatory reaction due to internal joint prosthesis | |
T84.6– |
Infection and inflammatory reaction due to internal fixation device (any site) | |
T84.7 |
Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants, and grafts | |
T85.7 |
Infection and inflammatory reaction due to other internal prosthetic devices, implants, and grafts | |
T88.0 |
Infection following immunization | |
|
Complications of medical and surgical care (refer to Appendix A of the
Hospital Harm Indicator General Methodology Notes) | |
|
Exclusions | |
O85.004 |
Puerperal sepsis, postpartum condition, or complication | |
O85.009 |
Puerperal sepsis, unspecified as to episode of care, or not applicable | |
O98.501 |
Other viral diseases complicating pregnancy, childbirth, and the puerperium; delivered with or without mention of antepartum condition | |
O98.503 |
Other viral diseases complicating pregnancy, childbirth, and the puerperium; antepartum condition or complication | |
O98.504 |
Other viral diseases complicating pregnancy, childbirth, and the puerperium; postpartum condition or complication | |
O98.509 |
Other viral diseases complicating pregnancy, childbirth, and the puerperium; unspecified as to episode of care, or not applicable | |
O98.801 |
Other maternal infectious and parasitic diseases complicating pregnancy, childbirth, and the puerperium; delivered with or without mention of antepartum condition | |
O98.803 |
Other maternal infectious and parasitic diseases complicating pregnancy, childbirth, and the puerperium; antepartum condition or complication | |
O98.804 |
Other maternal infectious and parasitic diseases complicating pregnancy, childbirth, and the puerperium; postpartum condition or complication | |
O98.809 |
Other maternal infectious and parasitic diseases complicating pregnancy, childbirth, and the puerperium; unspecified as to episode of care, or not applicable | |
Z51.5 |
Palliative care | |
| | | |