Documentation Tip: Urosepsis

Posted on Mon, Jan 16, 2017
Documentation Tip: Urosepsis

Our recurring series of documentation tips for clinicians.

By Timothy Brundage, MD

UROSEPSIS: There is NO CODE in ICD-10. Documenting the term “urosepsis” is ambiguous and nonspecific for coding purposes.

Please consider: “Sepsis secondary to UTI.”

  • NO SOI (not sick) - Urosepsis
  • LOW SOI (sick) - UTI
  • HIGH SOI (very sick) - Sepsis due to UTI

This tip will help reflect severity of illness (SOI) and have your patient appear as sick on paper as they are in the bed.

Dr. Timothy Brundage is a hospitalist for EmCare at St. Petersburg General Hospital in St. Petersburg, Fla. Dr. Brundage earned his bachelor’s degree in chemistry and molecular biology at the University of Michigan, his M.D. at the Wayne State University School of Medicine and completed his residency in internal medicine at the University of South Florida College of Medicine. Subscribe to Dr. Brundage’s weekly documentation tips, or ask him about specific documentation issues, by emailing him at

Dr. Timothy Brundage

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