A48.3

Toxic shock syndrome

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC2

Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock

CMS-HCC ESRD V24

HCC2

Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · A48.3
Excludes 1

endotoxic shock NOS (R57.8) sepsis NOS (A41.9)

Use additional

code to identify the organism (B95, B96)

Inherited from A48Other bacterial diseases, not elsewhere classified
Excludes 1

actinomycetoma (B47.1)

Inherited from chapter 1Certain infectious and parasitic diseases
Includes

diseases generally recognized as communicable or transmissible

Excludes 1

certain localized infections - see body system-related chapters

Excludes 2

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.-)

Official Guidelines for A48.3

FY 2026 ›