Hi, Can someone share with me what CODE their hospital would use for a OB/GYN case that has sepsis due to Postpartum (PP) Endometritis? I do not see a lot of "sepsis" documented by the OB/GYN providers (in contrast to medicine) and wanted to know if other hospitals see the same? I abstract/review for new Sepsis Measure and I also do review for OB/GYN Dept (chart reviews per their specific Dept QI Indicators which include PP infections). I recently came across a case in which pt developed tachycardia and fever after a C/S, consulted also by medicine in which there is documentation by the consultant of sepsis due to endometritis. It appears labs were sent including a lactate that came back elevated >2.
In this case above, the final CODING included a secondary diagnosis of "puerperal sepsis", ICD10- "o85". This code is NOT on the Table for the new Sepsis measure. Hoping someone can let me know if their hospital OB/GYN does use the language/document "sepsis" and what code is used for the final diagnosis if they do have sepsis (postpartum)? Thanks for any feedback! Jennifer Halligan, RN Quality Review Nurse San Joaquin General Hospital Tel: 209-468-7471 Fax: 209-468-7011
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