Valid for Submission
A48.3 is a billable diagnosis code used to specify a medical diagnosis of toxic shock syndrome. The code A48.3 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code A48.3 might also be used to specify conditions or terms like infection by methicillin sensitive staphylococcus aureus, methicillin resistant staphylococcus aureus infection, staphylococcal toxic shock syndrome, streptococcal toxic shock syndrome, toxic shock syndrome , toxic shock syndrome due to methicillin resistant staphylococcus aureus infection, etc.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code A48.3:
Use Additional CodeUse Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
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 A48.3 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Infection by methicillin sensitive Staphylococcus aureus
- Methicillin resistant Staphylococcus aureus infection
- Staphylococcal toxic shock syndrome
- Streptococcal toxic shock syndrome
- Toxic shock syndrome
- Toxic shock syndrome due to methicillin resistant Staphylococcus aureus infection
- Toxic shock syndrome due to methicillin susceptible Staphylococcus aureus
- SHOCK SEPTIC-. sepsis associated with hypotension or hypoperfusion despite adequate fluid resuscitation. perfusion abnormalities may include but are not limited to lactic acidosis; oliguria; or acute alteration in mental status.
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|867||OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC||18||2.2295|
|868||OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC||18||1.0584|
|869||OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC||18||0.726|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert A48.3 to ICD-9 Code
Information for Patients
What is sepsis?
Sepsis is your body's overactive and extreme response to an infection. Sepsis is a life-threatening medical emergency. Without quick treatment, it can lead to tissue damage, organ failure, and even death.
What causes sepsis?
Sepsis happens when an infection you already have triggers a chain reaction throughout your body. Bacterial infections are the most common cause, but other types of infections can also cause it.
The infections are often in the lungs, stomach, kidneys, or bladder. It's possible for sepsis to begin with a small cut that gets infected or with an infection that develops after surgery. Sometimes, sepsis can occur in people who didn't even know that they had an infection.
Who is at risk for sepsis?
Anyone with an infection could get sepsis. But certain people are at higher risk:
- Adults 65 or older
- People with chronic conditions, such as diabetes, lung disease, cancer, and kidney disease
- People with weakened immune systems
- Pregnant women
- Children younger than one
What are the symptoms of sepsis?
Sepsis can cause one or more of these symptoms:
- Rapid breathing and heart rate
- Shortness of breath
- Confusion or disorientation
- Extreme pain or discomfort
- Fever, shivering, or feeling very cold
- Clammy or sweaty skin
It's important to get medical care right away if you think you might have sepsis or if your infection is not getting better or is getting worse.
What other problems can sepsis cause?
Severe cases of sepsis can lead to septic shock, where your blood pressure drops to a dangerous level and multiple organs can fail.
How is sepsis diagnosed?
Your health care provider may use many tools to make a diagnosis
- A medical history, which includes asking about your symptoms
- A physical exam, including checking vital signs (your temperature, blood pressure, heart rate, and breathing)
- Lab tests that check for signs of infection or organ damage
- Imaging tests such as an x-ray or a CT scan to find the location of the infection
Many of the signs and symptoms of sepsis can also be caused by other medical conditions. This may make sepsis hard to diagnose in its early stages.
What are the treatments for sepsis?
It is very important to get treatment right away. Treatment usually includes
- Maintaining blood flow to organs. This may involve getting oxygen and intravenous (IV) fluids.
- Treating the source of the infection
- If needed, medicines to increase blood pressure
In serious cases, you might need kidney dialysis or a breathing tube. Some people need surgery to remove tissue damaged by the infection.
Can sepsis be prevented?
To prevent sepsis, you should try to prevent getting an infection:
- Take good care of any chronic health conditions that you have
- Get recommended vaccines
- Practice good hygiene, such as handwashing
- Keep cuts clean and covered until healed
NIH: National Institute of General Medical SciencesCenters for Disease Control and Prevention
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