ICD-10 Code A02.25 | Salmonella pyelonephritis Symptoms, Diagnosis, Billing

Salmonella pyelonephritis is a bacterial infection of the kidney caused by Salmonella species, often resulting from urinary tract infections or systemic infections. This condition is clinically significant due to its potential to cause severe renal damage and systemic complications. The ICD-10 Code A02.25 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate treatment and resource allocation.

What is ICD-10 Code A02.25 for Salmonella pyelonephritis?

ICD-10 Code A02.25 specifically represents Salmonella pyelonephritis, a serious infection of the kidney caused by Salmonella bacteria. This code should be used when documenting cases of pyelonephritis that are confirmed or suspected to be due to Salmonella, ensuring proper coding for treatment and billing purposes in clinical settings.

ICD-10 Code A02.25 – Clinical Definition and Explanation of Salmonella pyelonephritis

Salmonella pyelonephritis is primarily caused by the invasion of Salmonella bacteria into the renal parenchyma, often following a urinary tract infection or systemic infection. The condition can progress rapidly, necessitating prompt medical intervention to prevent complications such as renal failure. Early recognition and treatment are crucial.

Key Clinical Features:

• Fever and chills, indicating systemic infection.
• Flank pain or tenderness, suggesting renal involvement.
• Dysuria or changes in urinary habits, common in urinary tract infections.
• Nausea and vomiting, which may accompany systemic illness.

ICD-10 Code A02.25 for Salmonella pyelonephritis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A02.25 is utilized to document the diagnosis of Salmonella pyelonephritis, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A02.25 for Salmonella pyelonephritis Mean in SOAP Notes?

ICD-10 Code A02.25 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Salmonella pyelonephritis. This linkage is essential for continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A02.25 – Salmonella pyelonephritis

Salmonella pyelonephritis often requires hospitalization due to the risk of severe complications. Appropriate antibiotic therapy is critical for effective management.

Antibiotic Therapy:

• Ciprofloxacin: 7-14 days.
• Ceftriaxone: 7-14 days.
• Aztreonam: 7-14 days.
• Alternative: Trimethoprim-sulfamethoxazole if resistant.

Supportive Care:

• Hydration to maintain renal perfusion.
• Pain management with analgesics.
• Monitoring of renal function and electrolytes.
• Nutritional support as needed.

Infection Control:

• Strict hand hygiene to prevent spread.
• Isolation precautions if indicated.
• Education on food safety to prevent transmission.
• Surveillance for outbreaks in community settings.

How to Document Symptoms of Salmonella pyelonephritis (ICD-10 A02.25) in SOAP Notes

Subjective:

• Patient reports fever and chills for 3 days.
• Complains of flank pain and dysuria.
• History of recent urinary tract infection.
• Nausea and vomiting present.

Objective:

• Temperature: 101°F.
• Tenderness in the left flank on examination.
• Urinalysis shows leukocytes and bacteria.
• Blood tests indicate elevated white blood cell count.

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SOAP Note Guidelines for Diagnosing Salmonella pyelonephritis (ICD-10 Code A02.25)

Assessment:

• Diagnosis: Salmonella pyelonephritis, moderate severity.
• ICD-10 Code: A02.25.
• Contributing factors: Recent urinary tract infection.
• Risk factors: Immunocompromised status.

Plan:

• Initiate antibiotic therapy as per guidelines.
• Educate patient on hydration and symptom monitoring.
• Schedule follow-up in 1 week to reassess.
• Consider referral to nephrology if no improvement.

Treatment & Plan Section for ICD-10 Code A02.25 – Salmonella pyelonephritis

• First-line antibiotics: Ciprofloxacin or Ceftriaxone.
• Encourage increased fluid intake to promote renal function.
• Monitor renal function and electrolytes regularly.
• Follow-up appointments to assess treatment efficacy.

Using ICD-10 Code A02.25 for Salmonella pyelonephritis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use the code in settings where Salmonella pyelonephritis is diagnosed.
• Align treatment plans with clinical guidelines for justified billing.
• Document any complications or comorbidities for comprehensive coding.

Related ICD-10 Codes Often Used with Salmonella pyelonephritis

• A02.20 – Salmonella gastroenteritis
• A02.21 – Salmonella septicemia

ICD-10 Code A02.25 in Medical Billing and Insurance for Salmonella pyelonephritis

ICD-10 Code A02.25 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use the code in inpatient and outpatient settings as appropriate.
• Ensure compliance with payer-specific documentation requirements.
• Include detailed treatment plans in the medical record.

Common CPT Pairings: