ICD-10 Code A05.4 | Foodborne Bacillus cereus intoxication Symptoms, Diagnosis, Billing

Foodborne Bacillus cereus intoxication is caused by the ingestion of food contaminated with Bacillus cereus toxins. This condition is clinically significant due to its potential to cause gastrointestinal symptoms such as nausea, vomiting, and diarrhea. Accurate coding with ICD-10 Code A05.4 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage foodborne illnesses.

What is ICD-10 Code A05.4 for Foodborne Bacillus cereus intoxication?

ICD-10 Code A05.4 represents Foodborne Bacillus cereus intoxication, a condition resulting from the consumption of food contaminated with Bacillus cereus toxins. This code should be used in clinical documentation and billing when patients present with symptoms consistent with this intoxication, particularly after consuming improperly stored or cooked foods.

ICD-10 Code A05.4 – Clinical Definition and Explanation of Foodborne Bacillus cereus intoxication

Foodborne Bacillus cereus intoxication is primarily caused by the ingestion of food contaminated with preformed toxins produced by Bacillus cereus. Symptoms typically manifest within hours of consumption and can lead to significant gastrointestinal distress, necessitating medical attention to manage dehydration and other complications.

Key Clinical Features:

• Rapid onset of nausea and vomiting, often within 1-6 hours post-ingestion.
• Diarrhea that may be watery and non-bloody, occurring within 6-24 hours.
• Abdominal cramps and discomfort.
• Potential for dehydration, especially in vulnerable populations.

ICD-10 Code A05.4 for Foodborne Bacillus cereus intoxication – SOAP Notes & Clinical Use

ICD-10 Code A05.4 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan for Foodborne Bacillus cereus intoxication. This code is relevant in both acute care settings, such as emergency departments, and outpatient settings for follow-up care.

What Does ICD-10 Code A05.4 for Foodborne Bacillus cereus intoxication Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A05.4 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Foodborne Bacillus cereus intoxication. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A05.4 – Foodborne Bacillus cereus intoxication

Management of Foodborne Bacillus cereus intoxication focuses on symptom relief and hydration. Hospitalization may be necessary in severe cases, particularly for vulnerable populations.

Antibiotic Therapy:

• Antibiotics are generally not indicated for Bacillus cereus intoxication as it is primarily toxin-mediated.
• Supportive care is the mainstay of treatment.

Supportive Care:

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

Infection Control:

• Strict food safety practices to prevent contamination.
• Education on proper food storage and handling.
• Monitoring for outbreaks in communal settings.

How to Document Symptoms of Foodborne Bacillus cereus intoxication (ICD-10 A05.4) in SOAP Notes

Subjective:

• Patient reports nausea and vomiting after eating rice left out at room temperature.
• History of diarrhea starting approximately 4 hours after meal.
• Complaints of abdominal cramps and discomfort.
• No prior history of similar symptoms.

Objective:

• Vital signs: BP 110/70 mmHg, HR 90 bpm, Temp 98.6°F.
• Abdominal tenderness on palpation, no rebound tenderness.
• Stool sample shows no blood or mucus.
• Dehydration signs: dry mucous membranes, decreased skin turgor.

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SOAP Note Guidelines for Diagnosing Foodborne Bacillus cereus intoxication (ICD-10 Code A05.4)

Assessment:

• Diagnosis: Foodborne Bacillus cereus intoxication, mild severity.
• ICD-10 Code: A05.4.
• Common triggers: Consumption of improperly stored rice.
• No significant underlying health conditions noted.

Plan:

• Administer oral rehydration solutions.
• Consider IV fluids if dehydration worsens.
• Provide education on food safety practices.
• Schedule follow-up in 24-48 hours to reassess hydration status.

Treatment & Plan Section for ICD-10 Code A05.4 – Foodborne Bacillus cereus intoxication

• Monitor hydration status and administer fluids as needed.
• Educate patient on recognizing symptoms of dehydration.
• Provide dietary recommendations to ease gastrointestinal distress.
• Follow up to ensure resolution of symptoms and prevent recurrence.

Using ICD-10 Code A05.4 for Foodborne Bacillus cereus intoxication in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history to support the diagnosis.
• Use the code in acute care settings where patients present with gastrointestinal symptoms.
• Align treatment plans with clinical guidelines to justify billing.
• Document any relevant patient education provided during the visit.

Related ICD-10 Codes Often Used with Foodborne Bacillus cereus intoxication

• A05.0 – Foodborne Clostridium perfringens intoxication
• A05.1 – Foodborne Staphylococcus aureus intoxication
• A05.2 – Foodborne Vibrio parahaemolyticus intoxication
• A05.3 – Foodborne Vibrio cholerae intoxication

ICD-10 Code A05.4 in Medical Billing and Insurance for Foodborne Bacillus cereus intoxication

ICD-10 Code A05.4 is crucial for billing in hospital, emergency room, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant symptoms and patient history to support the diagnosis.
• Use the code in settings where foodborne illness is suspected.
• Ensure compliance with coding guidelines to avoid claim denials.
• Include details of patient education and follow-up plans in documentation.

Common CPT Pairings: