Other intestinal Escherichia coli infections are caused by various strains of E. coli that can lead to gastrointestinal illness. These infections can result in diarrhea, abdominal pain, and fever, and may require medical intervention. Accurate coding with ICD-10 Code A04.4 is essential for proper diagnosis, documentation, billing, and public health reporting, ensuring that healthcare providers can track and manage these infections effectively.
What is ICD-10 Code A04.4 for Other intestinal Escherichia coli infections?
ICD-10 Code A04.4 represents Other intestinal Escherichia coli infections, which are gastrointestinal infections caused by non-pathogenic strains of E. coli. This code should be used when documenting cases that do not fall under more specific E. coli infection codes, ensuring accurate clinical documentation and appropriate billing for healthcare services rendered.
ICD-10 Code A04.4 – Clinical Definition and Explanation of Other intestinal Escherichia coli infections
Other intestinal Escherichia coli infections are caused by specific strains of E. coli that can lead to gastrointestinal symptoms. These infections may arise from contaminated food or water and can progress to more severe conditions if not treated. Medical attention is necessary to manage symptoms and prevent complications.
Key Clinical Features:
- Diarrhea, which may be watery or bloody
- Abdominal cramps and pain
- Nausea and vomiting
- Fever and malaise
ICD-10 Code A04.4 for Other intestinal Escherichia coli infections – SOAP Notes & Clinical Use
ICD-10 Code A04.4 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with Other intestinal Escherichia coli infections. This code aids in capturing the patient's symptoms and the healthcare provider's evaluation, relevant in both acute and chronic care settings.
What Does ICD-10 Code A04.4 for Other intestinal Escherichia coli infections Mean in SOAP Notes?
In SOAP notes, ICD-10 Code A04.4 connects subjective patient-reported symptoms with objective clinical findings, facilitating a formal diagnosis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting electronic health record documentation standards.
Treatment Options for ICD-10 Code A04.4 – Other intestinal Escherichia coli infections
Prompt treatment of Other intestinal Escherichia coli infections is essential to prevent complications and manage symptoms effectively.
Antibiotic Therapy:
- Ciprofloxacin (500 mg orally twice daily for 3-7 days)
- Azithromycin (500 mg orally once daily for 3 days)
- Trimethoprim-sulfamethoxazole (TMP-SMX) (160/800 mg orally twice daily for 3-7 days)
Supportive Care:
- Oral rehydration solutions to prevent dehydration
- Antipyretics for fever management
- Dietary modifications to ease gastrointestinal symptoms
Infection Control:
- Strict hand hygiene practices
- Isolation of infected patients during outbreaks
- Proper food handling and preparation techniques
How to Document Symptoms of Other intestinal Escherichia coli infections (ICD-10 A04.4) in SOAP Notes
Subjective:
- Patient reports diarrhea for 3 days
- Complains of severe abdominal cramps
- Experiencing nausea and occasional vomiting
- Fever of 101°F noted at home
Objective:
- Abdominal tenderness on palpation
- Vital signs: BP 110/70, HR 90, Temp 101°F
- Stool sample positive for E. coli
- Dehydration signs: dry mucous membranes
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SOAP Note Guidelines for Diagnosing Other intestinal Escherichia coli infections (ICD-10 Code A04.4)
Assessment:
- Diagnosis: Other intestinal Escherichia coli infection, moderate severity
- ICD-10 Code: A04.4
- Contributing factors: Recent travel to an area with poor sanitation
- Possible exposure to contaminated food or water
Plan:
- Initiate antibiotic therapy as per guidelines
- Educate patient on hydration and dietary adjustments
- Schedule follow-up in 3 days to monitor progress
- Consider stool culture if symptoms persist beyond 5 days
Treatment & Plan Section for ICD-10 Code A04.4 – Other intestinal Escherichia coli infections
- First-line antibiotics as per treatment guidelines
- Encourage increased fluid intake and electrolyte replacement
- Monitor for signs of dehydration and complications
- Follow-up care to assess symptom resolution and recovery
Using ICD-10 Code A04.4 for Other intestinal Escherichia coli infections in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings in SOAP notes
- Use A04.4 for billing when the diagnosis is confirmed
- Align treatment plans with clinical guidelines to support justified billing
- Include relevant CPT codes that correspond to the services provided
Related ICD-10 Codes Often Used with Other intestinal Escherichia coli infections
- A04.0 – Enteropathogenic Escherichia coli infections
- A04.1 – Enterotoxigenic Escherichia coli infections
- A04.2 – Enteroinvasive Escherichia coli infections
- A04.3 – Shiga toxin-producing Escherichia coli infections
ICD-10 Code A04.4 in Medical Billing and Insurance for Other intestinal Escherichia coli infections
ICD-10 Code A04.4 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.
Billing Notes:
- Document all relevant clinical findings and patient history to support the claim
- Use A04.4 in conjunction with specific CPT codes for accurate billing
- Ensure compliance with payer requirements for documentation and coding
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, Level 3 |
| 87045 | Culture, bacterial, any source, isolation and presumptive identification |
| 96372 | Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular |
Frequently Asked Questions
Common Questions About Using ICD-10 Code A04.4 for Other intestinal Escherichia coli infections
What are the common symptoms of Other intestinal Escherichia coli infections?
Common symptoms include diarrhea (which may be bloody), abdominal cramps, nausea, vomiting, and fever. These symptoms typically arise after exposure to contaminated food or water.
How is Other intestinal Escherichia coli infection diagnosed?
Diagnosis is made through clinical evaluation and laboratory testing, including stool cultures that identify the presence of E. coli strains associated with gastrointestinal infections.
What is the treatment for Other intestinal Escherichia coli infections?
Treatment often includes antibiotic therapy and supportive care, such as hydration and dietary adjustments. Severe cases may require hospitalization for intravenous fluids.
Is Other intestinal Escherichia coli infection contagious?
While the infection itself is not highly contagious, it can spread through contaminated food or water. Proper hygiene and food safety practices are essential to prevent outbreaks.
