R65.2
R65.2: Severe sepsis
Non-billable headerICD-10-CM
R65.2 is a non-billable header ICD-10-CM code for severe sepsis. It cannot be billed on its own: choose one of the more specific child codes below.
Code first
The underlying condition must be sequenced before this code.
- underlying infection, such as:
- infection following a procedure (T81.4-)
- infections following infusion, transfusion and therapeutic injection (T80.2-)
- puerperal sepsis (O85)
- sepsis following complete or unspecified spontaneous abortion (O03.87)
- sepsis following ectopic and molar pregnancy (O08.82)
- sepsis following incomplete spontaneous abortion (O03.37)
- sepsis following (induced) termination of pregnancy (O04.87)
- sepsis NOS (A41.9)
Use additional code
Add a secondary code to capture the detail described below.
- code to identify specific acute organ dysfunction, such as:
- acute kidney failure (N17.-)
- acute respiratory failure (J96.0-)
- critical illness myopathy (G72.81)
- critical illness polyneuropathy (G62.81)
- disseminated intravascular coagulopathy [DIC] (D65)
- encephalopathy (metabolic) (septic) (G93.41)
- hepatic failure (K72.0-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Infection with associated acute organ dysfunction
- Sepsis with acute organ dysfunction
- Sepsis with multiple organ dysfunction
- Systemic inflammatory response syndrome due to infectious process with acute organ dysfunction
Other codes that can never be billed with R65.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead R65.2
2 child codes. Green means billable.