Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction
ICD-10 R65.11 is a billable code used to indicate a diagnosis of systemic inflammatory response syndrome (sirs) of non-infectious origin with acute organ dysfunction.
Systemic Inflammatory Response Syndrome (SIRS) of non-infectious origin with acute organ dysfunction is characterized by a systemic inflammatory response that can occur due to various non-infectious triggers such as trauma, pancreatitis, burns, or autoimmune disorders. Clinically, SIRS is defined by the presence of at least two of the following criteria: fever (temperature >38°C or <36°C), tachycardia (heart rate >90 beats per minute), tachypnea (respiratory rate >20 breaths per minute or arterial CO2 <32 mmHg), and leukocytosis (white blood cell count >12,000 cells/mm³) or leukopenia (white blood cell count <4,000 cells/mm³). Acute organ dysfunction may manifest as altered mental status, acute kidney injury, respiratory failure, or cardiovascular instability. The identification of SIRS is critical as it indicates a high risk for progression to severe sepsis or septic shock, necessitating prompt intervention and management.
Detailed documentation of vital signs, lab results, and clinical assessments to support the diagnosis of SIRS and organ dysfunction.
Patients presenting with pancreatitis, severe trauma, or autoimmune flare-ups leading to SIRS.
Ensure that the documentation clearly differentiates between infectious and non-infectious causes.
Acute care documentation must include rapid assessment of vital signs, lab results, and immediate interventions.
Patients presenting with acute respiratory distress, altered mental status, or shock due to non-infectious causes.
Timely documentation is crucial; ensure that all criteria for SIRS are met and documented.
Used for patients presenting with SIRS in the emergency department.
Document the severity of symptoms and the need for immediate intervention.
Emergency medicine providers should ensure that all SIRS criteria are documented.
The key criteria for diagnosing SIRS include the presence of at least two of the following: fever, tachycardia, tachypnea, and abnormal white blood cell count.
SIRS is diagnosed based on clinical criteria without the presence of infection, while sepsis is characterized by SIRS criteria plus a confirmed or suspected infection.
