Sepsis following a procedure, initial encounter

This code signifies a systemic inflammatory response syndrome (SIRS) caused by an infection that developed as a direct consequence of a medical or surgical procedure. It indicates that the patient is currently receiving active treatment for this sepsis.

Apply this code when a patient presents with sepsis that is clearly linked to a recent surgical operation, invasive diagnostic procedure, or other medical intervention. This is appropriate for the initial hospitalization or encounter where the sepsis is diagnosed and treatment begins.

• Always sequence this code after the code for the underlying infection causing the sepsis.
• Ensure documentation clearly links the sepsis to the preceding procedure.
• Do not use for sepsis unrelated to a procedure or for encounters after the initial treatment phase.