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2025 ICD-10-CM code A40

Streptococcal sepsis.

Code first any underlying condition or procedure that led to the sepsis. Use additional codes to specify the Streptococcus group if known (e.g., A40.0 for group A, A40.1 for group B).

Medical necessity for treatment of streptococcal sepsis is established by the presence of clinical signs and symptoms of systemic infection with laboratory confirmation of Streptococcus in the bloodstream. Treatment is crucial to prevent life-threatening complications.

Physicians are responsible for diagnosing and managing streptococcal sepsis. This involves assessing the patient's symptoms, ordering appropriate laboratory tests (blood cultures, urine cultures, etc.), administering antibiotics, providing supportive care (IV fluids, oxygen), and consulting with specialists if necessary.

IMPORTANT:Additional codes may be necessary to identify:* Postprocedural sepsis (T81.44-)* Sepsis due to central venous catheter (T80.211-)* Streptococcal sepsis during labor (O75.3)* Streptococcal sepsis following abortion or ectopic or molar pregnancy (O03.37, O03.87, O04.87, O07.37, O08.82)* Streptococcal sepsis following immunization (T88.0-)* Streptococcal sepsis following infusion, transfusion, or therapeutic injection (T80.22-, T80.29-)Excludes1 notes specify that this code should NOT be used for:* Neonatal sepsis (P36.0-P36.1)* Puerperal sepsis (O85)* Sepsis due to Streptococcus, group D (A41.81)

In simple words: Streptococcal sepsis is a severe blood infection caused by strep bacteria. It can be very dangerous if not treated quickly.

Streptococcal sepsis refers to a systemic infection caused by Streptococcus bacteria entering the bloodstream. This serious condition can lead to life-threatening complications.

Example 1: A patient presents with fever, chills, rapid heart rate, and low blood pressure following a surgical procedure. Blood cultures reveal the presence of Streptococcus bacteria, confirming the diagnosis of streptococcal sepsis., A child with a history of strep throat develops high fever, lethargy, and difficulty breathing.Streptococcal sepsis is suspected, and the child is admitted to the hospital for intensive care and antibiotic treatment., An individual with a weakened immune system develops a skin infection that rapidly spreads.Symptoms of sepsis emerge, and blood cultures identify Streptococcus as the causative agent.

Documentation should include signs and symptoms of sepsis, such as fever, chills, rapid heart rate, and low blood pressure. The source of the infection, if known, should be documented, along with results of laboratory tests confirming Streptococcus. Details of treatment, including antibiotics administered, should also be recorded.

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