Toxic shock syndrome
ICD-10 A48.2 is a billable code used to indicate a diagnosis of toxic shock syndrome.
Toxic shock syndrome (TSS) is a severe, life-threatening condition characterized by sudden onset of fever, rash, hypotension, and multi-organ dysfunction. It is often associated with the presence of certain bacterial toxins, particularly from Staphylococcus aureus and Streptococcus pyogenes. TSS can occur in both immunocompetent and immunocompromised individuals, but those with weakened immune systems are at a higher risk for opportunistic infections that can lead to TSS. The syndrome is often complicated by the presence of underlying conditions such as diabetes, HIV/AIDS, or malignancies, which can obscure the diagnosis. Diagnostic challenges arise due to the nonspecific nature of symptoms, which can mimic other conditions such as sepsis or severe allergic reactions. Early recognition and treatment are crucial, as TSS can progress rapidly, necessitating aggressive management including fluid resuscitation, antibiotic therapy, and sometimes surgical intervention to remove the source of infection. Accurate coding is essential for appropriate reimbursement and to reflect the severity of the patient's condition.
Detailed clinical notes on the patient's history, presenting symptoms, and laboratory results.
Patients presenting with fever, rash, and hypotension, particularly those with a history of recent surgery or infection.
Documentation must clearly outline the causative organism and any opportunistic infections present.
Comprehensive assessment notes including vital signs, initial treatment provided, and response to interventions.
Patients arriving with acute febrile illness and signs of shock.
Timely documentation is critical due to the rapid progression of TSS.
Used for patients presenting with TSS symptoms requiring immediate intervention.
Detailed notes on presenting symptoms, treatment provided, and patient response.
Emergency medicine specialists should document the urgency and severity of the condition.
Toxic Shock Syndrome is commonly caused by toxins from Staphylococcus aureus and Streptococcus pyogenes, often associated with surgical wounds, tampons, or skin infections.
