Bacteremia, Septicemia, SIRS, Sepsis, Severe Sepsis and Septic Shock
Webinar Post-Test
Name:

Date:
I prefer not to take the test, but would like the AHIMA CE certification for listening to the webinar.
Instructions
Registered Health Information Technicians, Registered Health Information Administrators, Certified Coding Specialists
and Certified Coding Specialists--Physician-based may earn one hour of continuing education credit toward AHIMA’s
continuing education requirement by completing this test with a minimum score of 70%.
Note: The answers to the questions can be found in the presentation and included handouts. The number of spaces
provided for some answers does not necessarily reflect the correct number of answers for the question.
Fill in the Blank Questions
1.
is presence of bacteria in the blood and is usually transient.
2. If the documentation states streptococcal
then only code 038.0 should be assigned.
3.
is a systemic response to infection, trauma, or other insult, such as cancer, that includes symptoms of fever,
tachycardia, tachypnea, and leukocytosis.
4. Sepsis refers to SIRS due to
with symptoms including fever, tachycardia, tachypnea, and leukocytosis.
5. Severe Sepsis refers to sepsis due to an infectious process with associated
6.
organ dysfunction.
refers to a nonspecific term. It is pyuria in the urine not the blood.
7. Since
shock indicates the presence of severe sepsis, code 995.92, Severe sepsis, can be assigned, even if the
term severe sepsis is not documented in the record.
8. The code for septic shock is a
known.
code and is coded even though the underlying definitive diagnosis is
9. When a localized infection is due to a specific organism, one
assume the sepsis is also due to that
same organism. Unless the physician is queried to determine if the sepsis is also due to that same organism, the sepsis
would be coded as 038.9 Unspecified septicemia.
10. When a localized infection is due to a specific organism, and the blood cultures are growing the same organism,
one
assume the sepsis is also due to that organism.
True or False Questions
1. A code from Category 995.9 is never assigned as a principal diagnosis. Sepsis or SIRS must be documented in order to
code from this category.
2. If the reason for admission is both sepsis, severe sepsis, or SIRS and a localized infection, such as pneumonia or
cellulitis, the localized infection is coded first.
3. If urosepsis is documented code 599.0 UTI followed by a code for the systemic infection (038.9).
4. The connection between the acute organ dysfunction and the sepsis must be documented in order to code severe
sepsis if there is not septic shock.
5. When a non-infectious condition leads to an infection resulting in sepsis or severe sepsis, assign 2 codes from
Category 995.9, one for the sepsis followed by a code for SIRS due to non-infectious process.
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