Systemic Infection/Inflammation, Viral and Bacterial Meningitis

Systemic Infection/Inflammation

Systemic Infection

• Bacteremia (positive blood cultures only)

• Urosepsis—MUST specify sepsis with UTI, versus UTI only

• Sepsis—specify causative organism if known

• Sepsis due to:

     --Device

     --Implant

     --Graft

     --Infusion

     --Abortion

• Severe sepsis—sepsis with organ dysfunction

     --Specify organ dysfunction

     --Respiratory failure

     --Encephalopathy

     --Acute kidney failure

     --Other (specify)

• SIRS (Systemic Inflammatory Response Syndrome

     --With or without organ dysfunction

• Document septic shock if present

• Document any associated diagnoses/conditions

Viral Meningitis

• Documentation of “Viral Meningitis” should include the specific viral

organism if known (i.e., adenovirus, enterovirus, chickenpox, measles,

etc.).

• Document any associated diagnoses/conditions

Bacterial Meningitis

• Documentation of “Bacterial meningitis” should include the specific

bacterial organism (i.e., Escherichia coli, bacillus, gram-negative,

Klebsiella, staph, strep, etc.) if known.

• Document if the meningitis is due to “other causes,” which can include

“nonpyogenic meningitis,” “chronic meningitis,” “Benign recurrent

meningitis.”

• Document any associated diagnoses/conditions