2025 ICD-10-CM code A48.3
(Active) Effective Date: N/A Certain infectious and parasitic diseases - Other bacterial diseases 1 Feed
Toxic shock syndrome
Medical necessity is established by the presence of clinical signs and symptoms consistent with toxic shock syndrome, along with supporting laboratory evidence.The severity of the condition, including the presence of organ dysfunction, justifies the need for medical intervention, such as antibiotic treatment and supportive care.
Diagnosis and management of Toxic Shock Syndrome (TSS). This includes evaluating symptoms, ordering and interpreting laboratory tests, prescribing antibiotics, and providing supportive care.In severe cases, admission to an intensive care unit (ICU) may be necessary.
In simple words: Toxic shock syndrome (TSS) is a rare but serious condition caused by bacteria. It can cause high fever, low blood pressure, rash, and other symptoms.It's important to seek immediate medical attention if you suspect you have TSS.
Toxic shock syndrome. Use additional code to identify the organism (B95, B96). Excludes1: endotoxic shock NOS (R57.8) sepsis NOS (A41.9)
Example 1: A 25-year-old female presents with high fever, rash, hypotension, and multi-organ dysfunction.After evaluation and lab tests, she is diagnosed with toxic shock syndrome associated with tampon use (A48.3, B95.1)., A 40-year-old male develops toxic shock syndrome following a surgical wound infection (A48.3, B95.8)., A child presents with fever, rash, and vomiting, subsequently diagnosed with streptococcal toxic shock syndrome (A48.3, B95.0).
Documentation should include signs and symptoms, such as fever, rash, hypotension, and organ involvement. Laboratory findings confirming the presence of toxins and causative organisms (e.g., Staphylococcus aureus, Streptococcus pyogenes) should also be documented. Any associated factors, such as tampon use or recent surgery, should be noted.
- Payment Status: Active
- Specialties:Infectious Disease, Internal Medicine, Critical Care Medicine, Family Medicine, Emergency Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office