Patient admitted with multiple third degree burns of upper arm develops severe

Patient admitted with multiple third degree burns of

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Patient admitted with multiple third-degree burns of upper arm develops severe MSSA sepsis with septic shock, three days into admission T22.391A Burn of third degree of multiple sites of right shoulder and upper arm limb, except wrist and hand, initial encounter A41.01 Sepsis due to Methicillin susceptible Staphylococcus aureus R65.21 Severe sepsis with septic shock Explanation: Severe sepsis is coded rather than SIRS from R65 because it is documented as a severe systemic infectious response with septic shock to a noninfectious condition. The code for the systemic infection is not used as the principal diagnosis because it was not present on admission. The patient was admitted for the burn injury.
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Chapter 2. Neoplasms ICD-10-CM 2017 Chapter 2. Neoplasms Guidelines and Examples ICD-10-CM 2017 433 Chapter 2. Neoplasms (C00–D49) Chapter Specific Guidelines with Coding Examples The chapter specific guidelines from the ICD-1 0 -CM Official Guidelines for Coding and Reporting have been provided below. Along with these guidelines are coding examples, contained in the shaded boxes, that have been developed to help illustrate the coding and/or sequencing guidance found in these guidelines. General guidelines Chapter 2 of the ICD-1 0 -CM contains the codes for most benign and all malignant neoplasms. Certain benign neoplasms, such as prostatic adenomas, may be found in the specific body system chapters. To properly code a neoplasm it is necessary to determine from the record if the neoplasm is benign, in-situ, malignant, or of uncertain histologic behavior. If malignant, any secondary (metastatic) sites should also be determined. Primary malignant neoplasms overlapping site boundaries A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous such as tumors in different quadrants of the same breast, codes for each site should be assigned. Malignant neoplasm of ectopic tissue Malignant neoplasms of ectopic tissue are to be coded to the site of origin mentioned, e.g., ectopic pancreatic malignant neoplasms involving the stomach are coded to pancreas, unspecified (C25.9). The neoplasm table in the Alphabetic Index should be referenced first. However, if the histological term is documented, that term should be referenced first, rather than going immediately to the Neoplasm Table, in order to determine which column in the Neoplasm Table is appropriate. For example, if the documentation indicates “adenoma,” refer to the term in the Alphabetic Index to review the entries under this term and the instructional note to “see also neoplasm, by site, benign.” The table provides the proper code based on the type of neoplasm and the site. It is important to select the proper column in the table that corresponds to the type of neoplasm. The Tabular List should then be
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