AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Ask the Editor

Toxic Shock Syndrome with Unspecified Sepsis

A patient presents to the Emergency Department (ED) with abdominal pain, chills, and severe low back pain, after not being able to retrieve a tampon used for menstruation. After admission, the workup showed leukocytosis, white blood count (WBC) of 24 and the patient was started on sepsis protocol. The final diagnoses were sepsis and suspected toxic shock syndrome (TSS). Code A48.3, Toxic shock syndrome and category A41, Other sepsis, have conflicting Excludes notes. Depending on which note is referenced, coding professionals are instructed to assign one or two codes. What codes are assigned for TSS with sepsis? ...

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