ICD-10 Code A03.2 | Shigellosis due to Shigella boydii Symptoms, Diagnosis, Billing

Shigellosis due to Shigella boydii is an infectious disease characterized by diarrhea, fever, and abdominal cramps caused by the bacterium Shigella boydii. This condition is clinically significant due to its potential for severe dehydration and complications, particularly in vulnerable populations. The ICD-10 Code A03.2 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code A03.2 for Shigellosis due to Shigella boydii?

ICD-10 Code A03.2 specifically represents Shigellosis due to Shigella boydii, a bacterial infection leading to gastrointestinal symptoms. This code is utilized in clinical documentation and billing when a patient presents with symptoms consistent with shigellosis, ensuring that healthcare providers can accurately capture the diagnosis for treatment and reimbursement purposes.

ICD-10 Code A03.2 – Clinical Definition and Explanation of Shigellosis due to Shigella boydii

Shigellosis due to Shigella boydii is caused by the ingestion of contaminated food or water, leading to inflammation of the intestinal lining. The condition can progress rapidly, necessitating medical attention to prevent complications such as dehydration. Early diagnosis and treatment are crucial for effective management.

Key Clinical Features:

• Acute diarrhea, often bloody or mucoid
• Fever and abdominal cramps
• Nausea and vomiting
• Dehydration risk, especially in young children and the elderly

ICD-10 Code A03.2 for Shigellosis due to Shigella boydii – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A03.2 is essential for documenting the patient's symptoms, assessment findings, and treatment plans. It aids in tracking the patient's progress and is relevant in both acute and chronic care settings, ensuring comprehensive care.

What Does ICD-10 Code A03.2 for Shigellosis due to Shigella boydii Mean in SOAP Notes?

ICD-10 Code A03.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of shigellosis. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A03.2 – Shigellosis due to Shigella boydii

Shigellosis due to Shigella boydii requires prompt treatment to prevent complications. Hospitalization may be necessary for 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 (for severe cases)

Supportive Care:

• Rehydration with oral rehydration solutions or IV fluids as needed
• Antipyretics for fever management
• Monitoring for signs of dehydration

Infection Control:

• Strict hand hygiene practices
• Isolation of infected individuals during outbreaks
• Education on food and water safety

How to Document Symptoms of Shigellosis due to Shigella boydii (ICD-10 A03.2) in SOAP Notes

Subjective:

• Patient reports diarrhea with blood and mucus
• Complaints of severe abdominal pain and cramping
• History of recent travel to an area with known outbreaks
• Fever and chills noted by the patient

Objective:

• Vital signs: Temperature 101°F, HR 100 bpm
• Abdominal examination reveals tenderness in the lower quadrants
• Stool sample positive for Shigella boydii
• Signs of dehydration: dry mucous membranes, decreased skin turgor

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SOAP Note Guidelines for Diagnosing Shigellosis due to Shigella boydii (ICD-10 Code A03.2)

Assessment:

• Diagnosis: Shigellosis due to Shigella boydii, moderate severity
• ICD-10 Code: A03.2
• Contributing factors: Recent travel to endemic area, potential exposure to contaminated food/water
• Risk of dehydration noted

Plan:

• Initiate antibiotic therapy with Ciprofloxacin
• Start oral rehydration therapy; consider IV fluids if dehydration worsens
• Educate patient on hygiene practices to prevent spread
• Schedule follow-up in 48 hours to reassess hydration status

Treatment & Plan Section for ICD-10 Code A03.2 – Shigellosis due to Shigella boydii

• First-line antibiotic therapy: Ciprofloxacin or Azithromycin
• Encourage increased fluid intake and electrolyte replacement
• Monitor for signs of complications such as severe dehydration
• Follow-up appointments to assess recovery and symptom resolution

Using ICD-10 Code A03.2 for Shigellosis due to Shigella boydii in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in Subjective (S) and Objective (O) sections
• Use A03.2 for all cases of confirmed Shigellosis due to Shigella boydii
• Align treatment plans with clinical guidelines to support justified billing
• Include relevant CPT codes for laboratory tests and consultations

Related ICD-10 Codes Often Used with Shigellosis due to Shigella boydii

• A03.0 – Shigellosis due to Shigella dysenteriae
• A03.1 – Shigellosis due to Shigella flexneri
• A03.3 – Shigellosis due to Shigella sonnei
• A03.9 – Shigellosis, unspecified

ICD-10 Code A03.2 in Medical Billing and Insurance for Shigellosis due to Shigella boydii

ICD-10 Code A03.2 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the use of A03.2 in claims.
• Ensure that the diagnosis is clearly linked to the patient's presenting symptoms.
• Use A03.2 in conjunction with appropriate CPT codes for laboratory tests and treatments.
• Review payer-specific guidelines for documentation requirements.

Common CPT Pairings: