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ICD-10 Code A04.5 | Campylobacter enteritis Symptoms, Diagnosis, Billing

Campylobacter enteritis is an infectious gastrointestinal disease caused by Campylobacter bacteria, primarily Campylobacter jejuni. It is clinically significant due to its role as a leading cause of bacterial gastroenteritis worldwide. Accurate coding with ICD-10 Code A04.5 facilitates precise diagnosis, documentation, medical billing, and public health reporting, ensuring effective management and tracking of this condition.

What is ICD-10 Code A04.5 for Campylobacter enteritis?

ICD-10 Code A04.5 specifically represents Campylobacter enteritis, a condition characterized by inflammation of the intestines due to Campylobacter infection. This code should be utilized in clinical documentation and billing when a patient presents with symptoms such as diarrhea, abdominal pain, and fever, confirming the diagnosis of this bacterial infection.

ICD-10 Code A04.5 – Clinical Definition and Explanation of Campylobacter enteritis

Campylobacter enteritis is primarily caused by the ingestion of contaminated food or water, particularly undercooked poultry. The condition can lead to severe gastrointestinal symptoms and may require medical intervention, especially in vulnerable populations. Prompt diagnosis and treatment are essential to prevent complications.

Key Clinical Features:

  • Diarrhea, often bloody
  • Abdominal cramps
  • Fever
  • Nausea and vomiting

ICD-10 Code A04.5 for Campylobacter enteritis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A04.5 is crucial for documenting the patient's symptoms, assessment findings, and treatment plans related to Campylobacter enteritis. It is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A04.5 for Campylobacter enteritis Mean in SOAP Notes?

ICD-10 Code A04.5 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Campylobacter enteritis. This code supports continuity of care, facilitates accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A04.5 – Campylobacter enteritis

Campylobacter enteritis may require hospitalization in severe cases, particularly for dehydration management. Antibiotic therapy is indicated in specific situations, while supportive care is essential for symptom relief.

Antibiotic Therapy:

  • Azithromycin 500 mg orally once daily for 3 days
  • Ciprofloxacin 500 mg orally twice daily for 3 days (alternative)
  • Doxycycline 100 mg orally twice daily for 3 days (alternative)

Supportive Care:

  • Oral rehydration solutions to prevent dehydration
  • Intravenous fluids for severe cases
  • Antiemetics for nausea and vomiting

Infection Control:

  • Practice good hand hygiene
  • Isolate infected individuals during outbreaks
  • Ensure proper food handling and cooking practices

How to Document Symptoms of Campylobacter enteritis (ICD-10 A04.5) in SOAP Notes

Subjective:

  • Patient reports diarrhea for 3 days, initially watery, now bloody
  • Complains of severe abdominal cramps
  • Experiencing fever and chills
  • Nausea with occasional vomiting

Objective:

  • Vital signs: Temperature 101°F, HR 100 bpm
  • Abdominal tenderness on palpation
  • Stool sample positive for Campylobacter
  • Dehydration noted on examination
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SOAP Note Guidelines for Diagnosing Campylobacter enteritis (ICD-10 Code A04.5)

Assessment:

  • Diagnosis: Campylobacter enteritis, moderate severity
  • ICD-10 Code: A04.5
  • Contributing factors: Recent travel and consumption of undercooked poultry
  • Symptoms consistent with bacterial gastroenteritis

Plan:

  • Initiate antibiotic therapy as per guidelines
  • Provide oral rehydration solutions
  • Educate patient on food safety practices
  • Schedule follow-up in 3 days to reassess symptoms

Treatment & Plan Section for ICD-10 Code A04.5 – Campylobacter enteritis

  • First-line antibiotic therapy as indicated
  • Encourage fluid intake to prevent dehydration
  • Monitor for signs of complications such as severe dehydration
  • Educate on hygiene and food safety to prevent recurrence

Using ICD-10 Code A04.5 for Campylobacter enteritis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in SOAP notes
  • Utilize A04.5 for all related billing to support claims
  • Align treatment plans with clinical guidelines for justified billing
  • Document any relevant comorbidities or complications

ICD-10 Code A04.5 in Medical Billing and Insurance for Campylobacter enteritis

ICD-10 Code A04.5 is essential for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all relevant symptoms and history to support the diagnosis
  • Use A04.5 in conjunction with other codes for comprehensive billing
  • Ensure compliance with payer requirements for documentation
  • Include details of treatment and follow-up plans in the medical record

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, low complexity
87506Infectious agent detection by nucleic acid (DNA or RNA), Campylobacter species
96372Therapeutic, prophylactic, or diagnostic injection
99285Emergency department visit, high complexity

Frequently Asked Questions

Common Questions About Using ICD-10 Code A04.5 for Campylobacter enteritis

What are the common symptoms of Campylobacter enteritis?

Common symptoms include diarrhea (which may be bloody), abdominal cramps, fever, nausea, and vomiting. Symptoms typically appear 2 to 5 days after exposure to the bacteria.

How is Campylobacter enteritis diagnosed?

Diagnosis is usually confirmed through stool culture or PCR testing to identify Campylobacter bacteria. Clinical history and symptom presentation also play a crucial role.

Is Campylobacter enteritis contagious?

Yes, Campylobacter can spread through contaminated food, water, or contact with infected animals. Good hygiene practices are essential to prevent transmission.

When should antibiotics be used for Campylobacter enteritis?

Antibiotics are typically reserved for severe cases or high-risk patients, such as those with weakened immune systems. Most cases resolve without antibiotic treatment.

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