I always enjoy your cases. I do have an issue with the “title” for Case 5 in the January 2009 issue (“Test yourself: Delirium, treating drug resistance, fall prevention”). You call this case “Urosepsis.” This diagnosis drives coding people crazy. The described patient clearly has a septic shock picture probably due to a urinary tract infection. The term urosepsis is too nonspecific and, unless modified, will result in the hospital receiving an inappropriately low level of reimbursement for this case.
Michael Emmett, MACP
Baylor University Medical Center, Dallas