ICD-10 Code A40.0

Sepsis due to streptococcus, group A

Version 2019 Billable Code
ICD-10: A40.0
Short Description:Sepsis due to streptococcus, group A
Long Description:Sepsis due to streptococcus, group A

Valid for Submission

ICD-10 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 2019 for the submission of HIPAA-covered transactions.

Code Classification

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

Information for Medical Professionals

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). The diagnosis code A40.0 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 870 - SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
  • 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

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

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

Synonyms

The following clinical terms are approximate synonyms:

  • 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

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:


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
  • The elderly
  • 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

  • Blood culture (Medical Encyclopedia)
  • Group B streptococcal septicemia of the newborn (Medical Encyclopedia)
  • Neonatal sepsis (Medical Encyclopedia)
  • Sepsis (Medical Encyclopedia)
  • Septic shock (Medical Encyclopedia)
  • Septicemia (Medical Encyclopedia)
  • Toxic shock syndrome (Medical Encyclopedia)

[Learn More]

Streptococcal Infections

Also called: Strep

Strep is short for Streptococcus, a type of bacteria. There are two types: 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, I.V. antibiotics during labor can save your baby's life. Adults can also get group B strep infections, especially if they are elderly 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.

NIH: National Institute of Allergy and Infectious Diseases

  • Ecthyma (Medical Encyclopedia)
  • Erysipelas (Medical Encyclopedia)
  • Group B streptococcal septicemia of the newborn (Medical Encyclopedia)
  • Group B streptococcus - pregnancy (Medical Encyclopedia)
  • Perianal streptococcal cellulitis (Medical Encyclopedia)
  • Rheumatic fever (Medical Encyclopedia)
  • Scarlet fever (Medical Encyclopedia)
  • Strep throat (Medical Encyclopedia)
  • Streptococcal screen (Medical Encyclopedia)
  • Throat swab culture (Medical Encyclopedia)
  • Toxic shock syndrome (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.