R41.85

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

Associated MS-DRGs

R41.85 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.

• DRG 870Septicemia or Severe Sepsis with MV >96 Hours
• DRG 871Septicemia or Severe Sepsis without MV >96 Hours with MCC
• DRG 872Septicemia or Severe Sepsis without MV >96 Hours without MCC
• DRG 884Organic Disturbances and Intellectual Disability