Shigellosis due to Shigella dysenteriae is an infectious disease characterized by diarrhea, fever, and abdominal cramps caused by the bacterium Shigella dysenteriae. This condition is clinically significant due to its potential for severe dehydration and complications, particularly in vulnerable populations. The ICD-10 Code A03.0 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.
What is ICD-10 Code A03.0 for Shigellosis due to Shigella dysenteriae?
ICD-10 Code A03.0 specifically identifies Shigellosis due to Shigella dysenteriae, a bacterial infection that leads to gastrointestinal symptoms. This code should be used in clinical documentation and billing when a patient presents with symptoms consistent with this infection, ensuring proper identification of the disease for treatment and epidemiological tracking.
ICD-10 Code A03.0 – Clinical Definition and Explanation of Shigellosis due to Shigella dysenteriae
Shigellosis due to Shigella dysenteriae is caused by the ingestion of contaminated food or water, leading to inflammation of the intestinal lining. The disease can progress rapidly, necessitating medical attention to prevent severe dehydration and other complications. Early diagnosis and treatment are crucial for effective management.
Key Clinical Features:
- Acute diarrhea, often bloody
- Fever and abdominal cramps
- Nausea and vomiting
- Tenesmus (a feeling of incomplete bowel evacuation)
ICD-10 Code A03.0 for Shigellosis due to Shigella dysenteriae – SOAP Notes & Clinical Use
In SOAP notes, ICD-10 Code A03.0 is utilized to document the patient's symptoms, assessment findings, and treatment plans related to Shigellosis due to Shigella dysenteriae. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.
What Does ICD-10 Code A03.0 for Shigellosis due to Shigella dysenteriae Mean in SOAP Notes?
ICD-10 Code A03.0 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Shigellosis due to Shigella dysenteriae. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code A03.0 – Shigellosis due to Shigella dysenteriae
Shigellosis due to Shigella dysenteriae requires prompt medical intervention to prevent complications. Hospitalization may be necessary in severe cases, and appropriate antibiotic therapy is critical.
Antibiotic Therapy:
- Ciprofloxacin (500 mg orally twice daily for 3 days)
- Azithromycin (1 g orally in a single dose)
- Ceftriaxone (1 g IV daily for 3 days)
Supportive Care:
- Rehydration therapy (oral or IV fluids)
- Electrolyte replacement
- Symptomatic treatment for fever and pain
Infection Control:
- Strict hand hygiene practices
- Isolation of infected patients during outbreaks
- Education on food and water safety
How to Document Symptoms of Shigellosis due to Shigella dysenteriae (ICD-10 A03.0) in SOAP Notes
Subjective:
- Patient reports diarrhea with blood and mucus
- Complaints of severe abdominal pain and cramping
- Fever of 101°F reported over the last two days
- Nausea and loss of appetite noted
Objective:
- Vital signs: BP 100/60 mmHg, HR 110 bpm, Temp 101°F
- Abdominal tenderness on palpation, no rebound tenderness
- Stool sample positive for Shigella dysenteriae
- Dehydration signs: dry mucous membranes, decreased skin turgor
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SOAP Note Guidelines for Diagnosing Shigellosis due to Shigella dysenteriae (ICD-10 Code A03.0)
Assessment:
- Diagnosis: Shigellosis due to Shigella dysenteriae, moderate severity
- ICD-10 Code: A03.0
- Contributing factors: Recent travel to endemic area, exposure to contaminated food
- Risk of dehydration and complications noted
Plan:
- Initiate antibiotic therapy as per guidelines
- Start rehydration therapy, monitor fluid intake
- Educate patient on hygiene and food safety practices
- Schedule follow-up in 48 hours to reassess symptoms
Treatment & Plan Section for ICD-10 Code A03.0 – Shigellosis due to Shigella dysenteriae
- First-line antibiotic treatment as per local guidelines
- Encourage increased fluid intake and electrolyte solutions
- Monitor for signs of dehydration and complications
- Follow-up appointments to assess recovery and symptom resolution
Using ICD-10 Code A03.0 for Shigellosis due to Shigella dysenteriae in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings in SOAP notes
- Use A03.0 in appropriate clinical settings, including outpatient and inpatient care
- Align treatment plans with clinical guidelines to support justified billing
- Document any complications or additional diagnoses to support coding accuracy
Related ICD-10 Codes Often Used with Shigellosis due to Shigella dysenteriae
- A03.1 – Shigellosis due to Shigella flexneri
- A03.2 – Shigellosis due to Shigella boydii
- A03.3 – Shigellosis due to Shigella sonnei
- A03.9 – Shigellosis, unspecified
ICD-10 Code A03.0 in Medical Billing and Insurance for Shigellosis due to Shigella dysenteriae
ICD-10 Code A03.0 is critical for accurate billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant clinical findings and patient history to support the use of A03.0.
- Use this code in both inpatient and outpatient settings for appropriate reimbursement.
- Ensure that all treatment plans are documented clearly to justify the ICD-10 claim.
- Include any complications or additional diagnoses to enhance coding accuracy.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, level 3 |
| 87506 | Infectious agent detection by nucleic acid (DNA or RNA); Shigella |
| 96360 | Intravenous infusion, hydration; initial, up to 1 hour |
Frequently Asked Questions
Common Questions About Using ICD-10 Code A03.0 for Shigellosis due to Shigella dysenteriae
What are the common symptoms of Shigellosis?
Common symptoms of Shigellosis include diarrhea (often bloody), abdominal cramps, fever, and nausea. Patients may also experience tenesmus, which is the sensation of incomplete bowel evacuation.
How is Shigellosis transmitted?
Shigellosis is primarily transmitted through the fecal-oral route, often via contaminated food or water. Close contact with infected individuals can also facilitate transmission.
When should I use ICD-10 Code A03.0?
ICD-10 Code A03.0 should be used when a patient presents with symptoms consistent with Shigellosis due to Shigella dysenteriae, ensuring accurate diagnosis and billing.
What is the treatment for Shigellosis?
Treatment for Shigellosis typically includes antibiotic therapy to combat the infection and supportive care to manage symptoms and prevent dehydration.
