ICD-10-CM Code A48.3

Toxic shock syndrome

Version 2020 Billable Code

Valid for Submission

A48.3 is a billable code used to specify a medical diagnosis of toxic shock syndrome. The code is valid for the year 2020 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

ICD-10:A48.3
Short Description:Toxic shock syndrome
Long Description:Toxic shock syndrome

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code A48.3:

Use Additional Code

Use 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.
  • code to identify the organism B95 B96

Type 1 Excludes

Type 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:


Synonyms

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

Clinical Information

  • 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

The ICD-10 code A48.3 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.

  • 867 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
  • 868 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
  • 869 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Convert A48.3 to ICD-9

Code Classification

  • Certain infectious and parasitic diseases (A00–B99)
    • Other bacterial diseases (A30-A49)
      • Other bacterial diseases, not elsewhere classified (A48)

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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