Other Gram-negative sepsis
ICD-10 A41.59 is a billable code used to indicate a diagnosis of other gram-negative sepsis.
Other Gram-negative sepsis refers to a severe systemic infection caused by Gram-negative bacteria that do not fall into the more commonly identified categories such as Escherichia coli or Klebsiella pneumoniae. This condition is characterized by the presence of bacteria in the bloodstream, leading to a systemic inflammatory response syndrome (SIRS) that can result in multi-organ dysfunction. Patients with Gram-negative sepsis often present with symptoms such as fever, chills, tachycardia, hypotension, and altered mental status. The management of this condition typically requires intensive care unit (ICU) admission, aggressive fluid resuscitation, and broad-spectrum intravenous antibiotics to combat the infection. Antimicrobial stewardship is crucial in this context to ensure the appropriate use of antibiotics, minimizing resistance development while effectively treating the infection. Early recognition and prompt treatment are essential to improve patient outcomes, as delays in therapy can lead to increased morbidity and mortality. Clinicians must also monitor for potential complications, including septic shock and organ failure, which can arise from the systemic effects of the infection.
Detailed documentation of the organism identified, clinical presentation, and treatment response.
Patients presenting with fever and hypotension, requiring hospitalization and IV antibiotics.
Ensure that the organism is specified and that the clinical criteria for sepsis are met.
Comprehensive documentation of ICU interventions, fluid resuscitation, and monitoring of organ function.
Management of septic shock in the ICU with multi-organ support.
Document all interventions and patient responses to ensure accurate coding.
Used for the initial evaluation of a patient with severe sepsis in the ICU.
Document the complexity of the medical decision-making and the severity of the patient's condition.
Critical care specialists should ensure that all interventions are documented.
A41.59 is used for other Gram-negative sepsis when the specific organism is not identified, while A41.51 is specifically for sepsis due to Escherichia coli.
