Yes, that is my understanding, especially or because of the word "OR" in the 
definition.
Pat

Patricia A Baker MS RN CNS CCRN CCNS
Critical Care Clinical Nurse Specialist
Heart & Vascular
Winchester Medical Center
1840 Amherst Street
Winchester, VA  22601
540-536-6679
[email protected]<mailto:[email protected]>

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From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of [email protected]
Sent: Wednesday, February 01, 2017 9:14 AM
To: [email protected]
Subject: [Sepsis Groups] question

Hello group,

I am being told by our quality department that if a patient is documented with 
severe sepsis and has a lactic acid greater than 4 that it is automatically 
coded as septic shock even though it's not documented. Is this true?

Thanks,
Debbie Chambless
Sepsis Coordinator
Osceola Regional Medical Center
Kissimmee, Fl 34371
407-518-3949
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