Re sending Please Help

Re-sending...please help

Hillary Sealock
Agency Supervisor
Sherrick Home Health
1204 Buchanan STE 2, P.O. Box 457
Carthage, IL 62321
Phone: (217)357-3353
Fax: (217)357-9087
Email: hillary.sealock@sherrickhomehealth.com

-----Original Message-----
From: Hillary Sealock [mailto:hillary.sealock@sherrickhomehealth.com]
Sent: Thursday, June 02, 2016 10:26 AM
To: HomeCareCoding-L
Subject: [homecarecoding-l] SIRS

I need help coding this: Documentation states the following "SIRS, evidence of sepsis on presentation with tachypnea, tachycardia and elevated WBC." Then it states "Acute on Chronic Kidney disease...possibly likely due to the infection." and "UTI" and it does state the organism is Klebsiella Pneumonia for the UTI.

So, there is Severe Sepsis - R65.20
SIRS without organ involvement R65.10
or SIRS with organ involvement R65.11

Which one do I use?
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