Sepsis due to streptococcus, group A
ICD-10 A40.0 is a billable code used to indicate a diagnosis of sepsis due to streptococcus, group a.
Sepsis due to Streptococcus group A (S. pyogenes) is a severe systemic infection characterized by the presence of bacteria in the bloodstream, leading to a dysregulated immune response. This condition can arise from various infections, including skin infections, pharyngitis, or pneumonia, and can progress rapidly to septic shock if not treated promptly. Patients may present with fever, chills, tachycardia, hypotension, and altered mental status. The pathophysiology involves the release of bacterial toxins and inflammatory mediators, which can lead to multi-organ dysfunction. Early recognition and aggressive management, including fluid resuscitation and broad-spectrum antibiotics, are critical in the intensive care unit (ICU) setting. Antimicrobial stewardship is essential to ensure appropriate antibiotic use, minimizing resistance development while effectively treating the infection. The prognosis depends on the timeliness of intervention and the patient's underlying health status.
Detailed history of infection, lab results, and treatment response.
Patients presenting with severe infections, requiring hospitalization and IV antibiotics.
Ensure clear documentation of the organism and any resistance patterns.
Comprehensive ICU notes including vital signs, interventions, and response to treatment.
Management of septic shock in critically ill patients.
Document all interventions and patient responses to justify the level of care.
Used for patients admitted with severe sepsis.
Comprehensive history, examination, and medical decision-making.
Critical care documentation must support the level of service billed.
Key indicators include the presence of group A streptococcus in cultures, clinical signs of sepsis, and documentation of organ dysfunction.
