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2025 ICD-10-CM code A48.0

Gas gangrene (Clostridial myonecrosis).A serious bacterial infection that causes tissue death.

Use additional codes to specify the causative organism (if known) and any associated complications.

Medical necessity for the treatment of gas gangrene is established by the presence of characteristic clinical findings and confirmed by laboratory tests or imaging studies. The severity of the infection and its potential for life-threatening complications warrant prompt and aggressive intervention to prevent further tissue damage and systemic spread.

Clinicians should be alert to the signs and symptoms of gas gangrene, especially in patients with recent trauma or surgery. Prompt diagnosis and treatment are crucial, which typically involves surgical debridement of the infected tissue and high-dose antibiotic therapy.Supportive care may include managing pain, monitoring vital signs, and providing fluid resuscitation.

In simple words: Gas gangrene is a very serious and fast-spreading bacterial infection that can cause tissue to die. It usually happens after a deep wound or surgery where the wound is exposed to the bacteria.The infection creates gas and harmful substances that damage the body.Symptoms include painful swelling, pale or discolored skin, blisters with smelly fluid, and a crackling feeling under the skin. This is a medical emergency and you need to see a doctor immediately.

Gas gangrene, also known as clostridial myonecrosis, is a severe, life-threatening bacterial infection characterized by the rapid destruction of muscle and other body tissues. The infection produces toxins and gas within the affected tissues, leading to characteristic symptoms such as swelling, pain, and a crackling sensation upon palpation. The condition is frequently associated with deep, penetrating injuries or surgical wounds contaminated with bacteria, most commonly Clostridium perfringens.

Example 1: A patient presents with severe pain, swelling, and crepitus in the leg following a deep puncture wound sustained while gardening. The wound appears discolored and emits a foul odor. Gas gangrene is suspected., Post-surgical abdominal wound exhibiting rapid progression of erythema, edema, and serosanguineous drainage accompanied by fever, tachycardia, and crepitus.Diagnosis of gas gangrene is made., A patient with poorly controlled diabetes develops gas gangrene in a foot ulcer without apparent trauma. The infection spreads rapidly, requiring aggressive medical and surgical intervention.

Documentation should include the location and characteristics of the wound, presence of gas, signs of systemic infection (e.g., fever, tachycardia, hypotension), laboratory findings (e.g., positive cultures), and treatment interventions (e.g., surgical debridement, antibiotics). Imaging studies such as X-rays or CT scans can be helpful to confirm the diagnosis and assess the extent of tissue involvement.

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