AHA Coding Clinic® for ICD-9 - 2013 Issue 2; Ask the Editor

Toxic Shock Syndrome and Severe Sepsis

A patient was admitted, diagnosed and died secondary to septic shock due to Toxic Shock Syndrome (TSS) related to staph pneumonia. Would the TSS be considered the systemic infection and coded as the principal diagnosis? Or is the TSS considered a localized infection and sepsis (the systemic infection) assigned as the principal diagnosis? ...

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