Table 1 Sepsis definition criteria in health claims data
Year(s) | Sepsis and Infection ICD-10-GM Codes | Organ dysfunction ICD-10-GM or OPS Codes |
|---|---|---|
2016–2019 | R57.2 (septic shock) OR | |
R65.1 (severe sepsis) OR | ||
At least one explicit sepsis code (A02.1, A20.0, A20.7, A21.7, A22.7, A24.1, A26.7, A28.2, A32.7, A39.1, A39.2, A39.3, A39.4, A40, A41, A42.7, A48.3, A49.9, A54.8, B00.7, B37.6, B37.7, B49, O75.3, O85, T80.2, T81.4, T88.0) | AND at least one ICD-10-GM code for organ dysfunction (J80.0, J95.1, J95.2, J96.0, J96.9, R09.2, D65, D69.57, D69.58, D69.59, D69.6, R57.8, E86, I95.9, I46.0, I46.9, R57.2, K72.0, K72.9, R17, N17.02, N17.03, N17.12, N17.13, N17.22, N17.23, N17.82, N17.83, N17.92, N17.93, F05, G94.32, K72.72!, K72.73!, K72.74!, R40, G93.4) OR OPS code for organ dysfunction (8–701,a 8–704,a 8–706,a 5–311,a 5–312,a 8–800.6, 8–800.d, 8–800.f, 8–800.g, 8–800.h, 8–800.j, 8–800.k, 8–800.m, 8–800.n, 8–810.j, 8–810.x, 8 812.5, 8–812.6, 8–812.8, 8–771, 8–779, 8–852, 8–858, 8–821.2, 8–853.1, 8–853.3, 8–853.4, 8–853.5, 8–853.6, 8–853.7, 8–853.8, 8–853.x, 8–853.y, 8–854.2, 8–854.3, 8–854.4, 8–854.5, 8–854.6, 8–854.7, 8–854.8, 8–854.x, 8–854.y, 8–855.1, 8–855.3, 8–855.4, 8–855.5, 8–855.6, 8–855.7, 8–855.8, 8–855.x, 8–855.y, 8–856, 8-85a.0, 8-85a.1) | |
2020 | R57.2 (septic shock) OR | |
At least one explicit sepsis code (see above) | AND R65.1 (SIRS with organ dysfunction) OR | |
At least one explicit sepsis code (see above) | AND at least one ICD-10-GM code for organ dysfunction (see above) OR OPS code for organ dysfunction (see above) OR | |
J09 OR J10 (laboratory confirmed Influenza) OR U07.1! (laboratory confirmed SARS-CoV2-infection) | AND at least one ICD-10-GM OR OPS code for organ dysfunction (see above) |