2017/18 ICD-10-CM Diagnosis Code A48.3

Toxic shock syndrome

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify the organism (
    ICD-10-CM Diagnosis Code B95

    Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere

      2016 2017 2018 Non-Billable/Non-Specific Code
    B95
    ,
    ICD-10-CM Diagnosis Code B96

    Other bacterial agents as the cause of diseases classified elsewhere

      2016 2017 2018 Non-Billable/Non-Specific Code
    B96
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as A48.3. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • endotoxic shock NOS (
    ICD-10-CM Diagnosis Code R57.8

    Other shock

      2016 2017 2018 Billable/Specific Code
    R57.8
    )
  • sepsis NOS (
    ICD-10-CM Diagnosis Code A41.9

    Sepsis, unspecified organism

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Septicemia NOS
    A41.9
    )
The following code(s) above A48.3 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to A48.3:
  • A00-B99
    2018 ICD-10-CM Range A00-B99

    Certain infectious and parasitic diseases

    Includes
    • diseases generally recognized as communicable or transmissible
    Type 1 Excludes
    • certain localized infections - see body system-related chapters
    Type 2 Excludes
    • carrier or suspected carrier of infectious disease (Z22.-)
    • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
    • infectious and parasitic diseases specific to the perinatal period (P35-P39)
    • influenza and other acute respiratory infections (J00-J22)
    Use Additional
    • code to identify resistance to antimicrobial drugs (Z16.-)
    Certain infectious and parasitic diseases
  • A48
    ICD-10-CM Diagnosis Code A48

    Other bacterial diseases, not elsewhere classified

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Other bacterial diseases, not elsewhere classified
Approximate Synonyms Clinical Information ICD-10-CM A48.3 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert A48.3 to ICD-9-CM

Code History
Code annotations containing back-references to A48.3:

Diagnosis Index entries containing back-references to A48.3:

ICD-10-CM Codes Adjacent To A48.3
A44 Bartonellosis
A44.0 Systemic bartonellosis
A44.1 Cutaneous and mucocutaneous bartonellosis
A44.8 Other forms of bartonellosis
A44.9 Bartonellosis, unspecified
A46 Erysipelas
A48 Other bacterial diseases, not elsewhere classified
A48.0 Gas gangrene
A48.1 Legionnaires' disease
A48.2 Nonpneumonic Legionnaires' disease [Pontiac fever]
A48.3 Toxic shock syndrome
A48.4 Brazilian purpuric fever
A48.5 Other specified botulism
A48.51 Infant botulism
A48.52 Wound botulism
A48.8 Other specified bacterial diseases
A49 Bacterial infection of unspecified site
A49.0 Staphylococcal infection, unspecified site
A49.01 Methicillin susceptible Staphylococcus aureus infection, unspecified site
A49.02 Methicillin resistant Staphylococcus aureus infection, unspecified site
A49.1 Streptococcal infection, unspecified site

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.