Toxic Shock Syndrome

Effective October 1, 2002, a new code has been created for the unique identification of toxic shock syndrome due to the severity of this illness. Prior to the creation of the new code, toxic shock syndrome was classified to 040.89, Other specified bacterial diseases. Toxic shock syndrome is caused by a bacterial infection. It was originally reported almost exclusively in menstruating women using high-absorbency tampons. The organism isolated was Staphylococcus aureus. A similar syndrome has been identified due to Group A Streptococcus. Toxic shock syndrome can affect anyone, including children and males. The symptoms include high fever of...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses a diagnosis coding update related to toxic shock syndrome and its classification changes effective October 1, 2002. It is relevant to coders, auditors, and clinical documentation staff who work with infectious disease diagnoses and code assignment guidance. The article also notes a superseding update to earlier Coding Clinic advice and references broader clinical context for the condition.

Why This Topic Matters

Accurate diagnosis coding for toxic shock syndrome depends on recognizing the revised classification and documenting organism information appropriately. The article helps readers understand the scope of the update and why older guidance is no longer current.

What You Will Learn

  • How toxic shock syndrome was reclassified for coding purposes
  • What general documentation element is tied to identifying the organism
  • How the update relates to prior published coding guidance
  • The broader clinical context of toxic shock syndrome as described in the article

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation staff
  • Revenue cycle professionals
  • Infectious disease billing specialists

Codes Discussed

  • ICD-9-CM: 040.82
  • ICD-9-CM: 040.89

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