ICD-10-CM Billable Code

R65.10

Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction

Clinical Classification Guidelines

Inclusion Terms

  • Systemic inflammatory response syndrome (SIRS) NOS

Medical Intelligence & Overview

Systemic Inflammatory Response Syndrome (SIRS) is a widespread inflammatory response that affects the entire body. When this syndrome occurs without an infection, it is classified under ICD-10 code R65.10. Known as SIRS of non-infectious origin, this condition can arise due to various triggers such as trauma, burns, or other inflammatory processes. Recognizing and understanding SIRS is vital since it indicates that the body is undergoing an abnormal inflammatory response, which can have significant health implications if not managed properly.

Causes & Symptoms

Clinical Causes: Trauma or physical injury (e.g., severe injuries, fractures) Major burns or skin damage Pancreatitis (inflammation of the pancreas) Malignant tumors or cancer treatments causing inflammation Blood transfusions or reactions Autoimmune diseases leading to systemic inflammation Reactions to certain medications or toxins Surgical trauma or post-operative complications

Key Symptoms: Fever or low body temperature Elevated heart rate (tachycardia) Rapid breathing or increased respiratory rate High or low blood pressure Altered mental status, confusion, or disorientation Decreased urine output Skin redness, swelling, or warmth at injury sites Muscle weakness or fatigue Chills and sweating General feeling of illness or malaise

Diagnostic & Treatment

Diagnosis Path: Diagnosing SIRS involves a comprehensive medical evaluation. Healthcare providers will review symptoms and perform various tests, including blood tests to check for markers of inflammation, blood glucose levels, and organ function assessments. Vital signs such as temperature, heart rate, respiratory rate, and blood pressure are closely monitored. Imaging studies may be used if an internal injury or inflammation source needs identification. There are no specific tests for SIRS, so diagnosis primarily relies on clinical criteria and ruling out infectious causes.

Treatment Protocols: Treatment of SIRS of non-infectious origin focuses on addressing the underlying cause and supporting vital organ functions. Key approaches include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is R65.10 a billable ICD-10 code?
Yes, R65.10 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report R65.10?
Clinical documentation must specify the nature of Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction and any associated comorbidities for accurate reporting.

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Related Diagnosis Codes

Clinical Meta Tags

origin acute inflammatory syndrome organ systemic response dysfunction