ICD-10 Code A03.3 | Shigellosis due to Shigella sonnei Symptoms, Diagnosis, Billing

Shigellosis due to Shigella sonnei is an infectious disease characterized by diarrhea, fever, and abdominal cramps caused by the bacterium Shigella sonnei. This condition is clinically significant due to its potential for outbreaks and severe dehydration, particularly in vulnerable populations. The ICD-10 Code A03.3 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code A03.3 for Shigellosis due to Shigella sonnei?

ICD-10 Code A03.3 specifically denotes Shigellosis caused by Shigella sonnei, a common pathogen responsible for bacterial dysentery. This code should be utilized in clinical documentation and billing when a patient presents with symptoms consistent with shigellosis, including diarrhea, fever, and abdominal pain, ensuring proper identification of the disease for treatment and epidemiological tracking.

ICD-10 Code A03.3 – Clinical Definition and Explanation of Shigellosis due to Shigella sonnei

Shigellosis due to Shigella sonnei is primarily transmitted via the fecal-oral route, often through contaminated food or water. The disease can progress rapidly, leading to severe dehydration and requires prompt medical attention. Early diagnosis and treatment are crucial to prevent complications and limit transmission.

Key Clinical Features:

• Acute onset of diarrhea, often bloody
• Fever and abdominal cramps
• Nausea and vomiting may occur
• Symptoms typically last 5 to 7 days

ICD-10 Code A03.3 for Shigellosis due to Shigella sonnei – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A03.3 is essential for documenting the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive patient management and facilitating appropriate billing practices.

What Does ICD-10 Code A03.3 for Shigellosis due to Shigella sonnei Mean in SOAP Notes?

ICD-10 Code A03.3 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 A03.3 – Shigellosis due to Shigella sonnei

Shigellosis due to Shigella sonnei often necessitates hospitalization, especially in severe cases. Antibiotic therapy is critical for managing the infection, alongside supportive care to alleviate symptoms.

Antibiotic Therapy:

• Ciprofloxacin 500 mg orally twice daily for 3 days
• Azithromycin 1 g orally in a single dose
• Alternative: Ceftriaxone 1 g IV daily for 3 days

Supportive Care:

• Rehydration with oral rehydration solutions
• Intravenous fluids for severe dehydration
• Antipyretics for fever management

Infection Control:

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

How to Document Symptoms of Shigellosis due to Shigella sonnei (ICD-10 A03.3) 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 2 days
• Nausea and loss of appetite noted

Objective:

• Vital signs: BP 110/70 mmHg, HR 100 bpm, Temp 101°F
• Abdominal tenderness on palpation, no rebound tenderness
• Stool sample positive for Shigella sonnei
• Dehydration signs: dry mucous membranes, decreased skin turgor

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SOAP Note Guidelines for Diagnosing Shigellosis due to Shigella sonnei (ICD-10 Code A03.3)

Assessment:

• Diagnosis: Shigellosis due to Shigella sonnei, moderate severity
• ICD-10 Code: A03.3
• Contributing factors: Recent travel to endemic area, exposure to contaminated food
• Risk of dehydration and complications noted

Plan:

• Initiate antibiotic therapy with Ciprofloxacin
• Administer IV fluids for rehydration
• Educate patient on hygiene practices to prevent spread
• Schedule follow-up in 3 days to reassess symptoms

Treatment & Plan Section for ICD-10 Code A03.3 – Shigellosis due to Shigella sonnei

• First-line antibiotic treatment with Ciprofloxacin or Azithromycin
• Encourage increased fluid intake and use of oral rehydration solutions
• Monitor for signs of dehydration and electrolyte imbalance
• Follow-up care to assess recovery and prevent recurrence

Using ICD-10 Code A03.3 for Shigellosis due to Shigella sonnei in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes
• Use A03.3 for all cases of confirmed Shigellosis due to Shigella sonnei
• 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 sonnei

• A03.0 – Shigellosis due to Shigella dysenteriae
• A03.1 – Shigellosis due to Shigella flexneri
• A03.2 – Shigellosis due to Shigella boydii
• A04.0 – Other bacterial intestinal infections

ICD-10 Code A03.3 in Medical Billing and Insurance for Shigellosis due to Shigella sonnei

ICD-10 Code A03.3 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant patient history and clinical findings to support the use of A03.3
• Use this code in conjunction with appropriate CPT codes for laboratory tests and treatments
• Ensure compliance with payer guidelines for documentation and coding

Common CPT Pairings: