ICD-10-CM Code A40.0

Sepsis due to streptococcus, group A

Version 2020 Billable Code

Valid for Submission

A40.0 is a billable code used to specify a medical diagnosis of sepsis due to streptococcus, group a. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code A40.0 might also be used to specify conditions or terms like sepsis due to streptococcus pyogenes or septic shock co-occurrent with acute organ dysfunction due to gram-positive coccus or septic shock co-occurrent with acute organ dysfunction due to group a streptococcus or septic shock co-occurrent with acute organ dysfunction due to streptococcus or severe sepsis with acute organ dysfunction due to group a streptococcus.

ICD-10:A40.0
Short Description:Sepsis due to streptococcus, group A
Long Description:Sepsis due to streptococcus, group A

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code A40.0 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Sepsis due to Streptococcus pyogenes
  • Septic shock co-occurrent with acute organ dysfunction due to Gram-positive coccus
  • Septic shock co-occurrent with acute organ dysfunction due to Group A streptococcus
  • Septic shock co-occurrent with acute organ dysfunction due to Streptococcus
  • Severe sepsis with acute organ dysfunction due to Group A streptococcus

Diagnostic Related Groups

The ICD-10 code A40.0 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 870 - SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
  • 871 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC
  • 872 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC

Convert A40.0 to ICD-9

  • 038.0 - Streptococcal septicemia (Combination Flag)
  • 995.91 - Sepsis (Combination Flag)

Code Classification

  • Certain infectious and parasitic diseases (A00–B99)
    • Other bacterial diseases (A30-A49)
      • Streptococcal sepsis (A40)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Sepsis

Sepsis is a serious illness. It happens when your body has an overwhelming immune response to a bacterial infection. The chemicals released into the blood to fight the infection trigger widespread inflammation. This leads to blood clots and leaky blood vessels. They cause poor blood flow, which deprives your body's organs of nutrients and oxygen. In severe cases, one or more organs fail. In the worst cases, blood pressure drops and the heart weakens, leading to septic shock.

Anyone can get sepsis, but the risk is higher in

  • People with weakened immune systems
  • Infants and children
  • Adults 65 and older
  • People with chronic illnesses, such as diabetes, AIDS, cancer, and kidney or liver disease
  • People suffering from a severe burn or physical trauma

Common symptoms of sepsis are fever, chills, rapid breathing and heart rate, rash, confusion, and disorientation. Doctors diagnose sepsis using a blood test to see if the number of white blood cells is abnormal. They also do lab tests that check for signs of infection.

People with sepsis are usually treated in hospital intensive care units. Doctors try to treat the infection, sustain the vital organs, and prevent a drop in blood pressure. Many patients receive oxygen and intravenous (IV) fluids. Other types of treatment, such as respirators or kidney dialysis, may be necessary. Sometimes, surgery is needed to clear up an infection.

NIH: National Institute of General Medical Sciences


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Streptococcal Infections

Strep is short for Streptococcus, a type of bacteria. There are several types. Two of them cause most of the strep infections in people: group A and group B.

Group A strep causes

  • Strep throat - a sore, red throat. Your tonsils may be swollen and have white spots on them.
  • Scarlet fever - an illness that follows strep throat. It causes a red rash on the body.
  • Impetigo - a skin infection
  • Toxic shock syndrome
  • Cellulitis and necrotizing fasciitis (flesh-eating disease)

Group B strep can cause blood infections, pneumonia and meningitis in newborns. A screening test during pregnancy can tell if you have it. If you do, intravenous (IV) antibiotics during labor can save your baby's life. Adults can also get group B strep infections, especially if they are 65 or older or already have health problems. Strep B can cause urinary tract infections, blood infections, skin infections and pneumonia in adults.

Antibiotics are used to treat strep infections.


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