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R65.20

✓ Billable

Severe sepsis without septic shock

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

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Also Known As

Severe sepsis NOS

📋 Code Instructions

from R65.2
  • • 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-)
  • • Code first: underlying infection, such as:
  • • Code first: infection following a procedure (T81.4-)
  • • Code first: infections following infusion, transfusion and therapeutic injection (T80.2-)
  • • Code first: puerperal sepsis (O85)
  • • Code first: sepsis following complete or unspecified spontaneous abortion (O03.87)
  • • Code first: sepsis following ectopic and molar pregnancy (O08.82)
  • • Code first: sepsis following incomplete spontaneous abortion (O03.37)
  • • Code first: sepsis following (induced) termination of pregnancy (O04.87)
  • • Code first: sepsis NOS (A41.9)
✅ No additional coding notes for R65.20

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Code Information

CodeR65.20
BillableYes
ParentR65.2
CategorySymptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
Excludes10 rule(s)
Excludes20 note(s)

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)