Enteroinvasive Escherichia coli infection is caused by a pathogenic strain of E. coli that invades the intestinal mucosa, leading to diarrhea, abdominal cramps, and fever. This condition is clinically significant due to its potential to cause severe gastrointestinal illness and outbreaks. The ICD-10 Code A04.2 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.
What is ICD-10 Code A04.2 for Enteroinvasive Escherichia coli infection?
ICD-10 Code A04.2 represents Enteroinvasive Escherichia coli infection, a gastrointestinal illness characterized by the invasion of the intestinal lining by specific E. coli strains. This code should be used in clinical documentation and billing when a patient presents with symptoms such as diarrhea, fever, and abdominal pain, indicating a confirmed or suspected diagnosis of this infection.
ICD-10 Code A04.2 – Clinical Definition and Explanation of Enteroinvasive Escherichia coli infection
Enteroinvasive Escherichia coli infection is primarily caused by ingestion of contaminated food or water. The bacteria invade the intestinal epithelial cells, leading to inflammation and gastrointestinal symptoms. Prompt medical attention is necessary to prevent complications such as dehydration and systemic infection.
Key Clinical Features:
- Diarrhea, often bloody
- Abdominal cramps
- Fever
- Nausea and vomiting
ICD-10 Code A04.2 for Enteroinvasive Escherichia coli infection – SOAP Notes & Clinical Use
ICD-10 Code A04.2 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management.
What Does ICD-10 Code A04.2 for Enteroinvasive Escherichia coli infection Mean in SOAP Notes?
In SOAP notes, ICD-10 Code A04.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Enteroinvasive Escherichia coli infection. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code A04.2 – Enteroinvasive Escherichia coli infection
Enteroinvasive Escherichia coli infection may require hospitalization in severe cases due to dehydration or systemic involvement. Antibiotic therapy is indicated for severe infections, while supportive care is crucial for symptom management.
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 days)
Supportive Care:
- Oral rehydration solutions to prevent dehydration
- Intravenous fluids for severe dehydration
- Antipyretics for fever management
Infection Control:
- Strict hand hygiene practices
- Isolation of infected patients during outbreaks
- Proper food handling and sanitation measures
How to Document Symptoms of Enteroinvasive Escherichia coli infection (ICD-10 A04.2) in SOAP Notes
Subjective:
- Patient reports diarrhea with blood
- Complains of severe abdominal cramps
- States experiencing fever and chills
- Mentions recent travel to an area with known outbreaks
Objective:
- Vital signs: fever (101°F), tachycardia
- Abdominal tenderness on palpation
- Stool sample positive for E. coli
- Dehydration noted on physical examination
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SOAP Note Guidelines for Diagnosing Enteroinvasive Escherichia coli infection (ICD-10 Code A04.2)
Assessment:
- Diagnosis: Enteroinvasive Escherichia coli infection, moderate severity
- ICD-10 Code: A04.2
- Contributing factors: Recent travel, potential food exposure
- Symptoms consistent with gastrointestinal infection
Plan:
- Initiate antibiotic therapy as per guidelines
- Provide oral rehydration solutions
- Educate patient on dietary modifications
- Schedule follow-up in 48 hours to reassess symptoms
Treatment & Plan Section for ICD-10 Code A04.2 – Enteroinvasive Escherichia coli infection
- First-line antibiotics as indicated
- Encourage fluid intake and hydration
- Monitor for signs of dehydration
- Educate on hygiene practices to prevent spread
Using ICD-10 Code A04.2 for Enteroinvasive Escherichia coli infection in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and findings
- Use A04.2 in appropriate clinical settings, such as ER or outpatient
- Align treatment plans with clinical guidelines for justified billing
- Include relevant CPT codes for services rendered
Related ICD-10 Codes Often Used with Enteroinvasive Escherichia coli infection
- A04.0 – Enterotoxigenic Escherichia coli infection
- A04.1 – Enteropathogenic Escherichia coli infection
- A04.3 – Enterohemorrhagic Escherichia coli infection
- A04.9 – Escherichia coli infection, unspecified
ICD-10 Code A04.2 in Medical Billing and Insurance for Enteroinvasive Escherichia coli infection
ICD-10 Code A04.2 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant symptoms and clinical findings clearly
- Use A04.2 in conjunction with appropriate clinical services
- Ensure compliance with payer requirements for documentation
- Review coding guidelines to support accurate claims
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, Level 3 |
| 87529 | Infectious agent detection by nucleic acid (DNA or RNA), E. coli |
| 96360 | Intravenous infusion, hydration, initial, 31 minutes to 1 hour |
Frequently Asked Questions
Common Questions About Using ICD-10 Code A04.2 for Enteroinvasive Escherichia coli infection
What are the common symptoms of Enteroinvasive Escherichia coli infection?
Common symptoms include diarrhea (which may be bloody), abdominal cramps, fever, nausea, and vomiting. These symptoms typically arise after ingestion of contaminated food or water.
How is Enteroinvasive Escherichia coli infection diagnosed?
Diagnosis is made through clinical evaluation and laboratory testing, including stool cultures that identify the presence of enteroinvasive E. coli.
What is the treatment for Enteroinvasive Escherichia coli infection?
Treatment often includes antibiotic therapy for severe cases and supportive care such as hydration and electrolyte management to prevent complications.
When should ICD-10 Code A04.2 be used?
ICD-10 Code A04.2 should be used when a patient presents with symptoms consistent with Enteroinvasive Escherichia coli infection, confirmed by laboratory testing or clinical suspicion.
