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ICD-10 Code A06.1 | Chronic intestinal amebiasis Symptoms, Diagnosis, Billing

Chronic intestinal amebiasis is a parasitic infection caused by Entamoeba histolytica, leading to inflammation and ulceration of the intestinal lining. This condition is clinically significant due to its potential to cause severe gastrointestinal symptoms and complications, including dysentery and colitis. Accurate coding with ICD-10 Code A06.1 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate treatment and resource allocation.

What is ICD-10 Code A06.1 for Chronic intestinal amebiasis?

ICD-10 Code A06.1 represents Chronic intestinal amebiasis, a long-term infection of the intestines caused by the protozoan parasite Entamoeba histolytica. This code should be used in clinical documentation and billing when a patient presents with symptoms such as abdominal pain, diarrhea, and weight loss, indicating a chronic infection that may require ongoing management and treatment.

ICD-10 Code A06.1 – Clinical Definition and Explanation of Chronic intestinal amebiasis

Chronic intestinal amebiasis is primarily caused by the ingestion of cysts from contaminated food or water. The infection can lead to chronic diarrhea, abdominal pain, and malnutrition if left untreated, necessitating medical intervention. Early diagnosis and treatment are crucial to prevent complications such as intestinal perforation or secondary infections.

Key Clinical Features:

  • Persistent diarrhea with mucus and blood
  • Abdominal cramping and pain
  • Weight loss and malnutrition
  • Fatigue and weakness

ICD-10 Code A06.1 for Chronic intestinal amebiasis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A06.1 is utilized to document the patient's symptoms, assessment findings, and treatment plans related to chronic intestinal amebiasis. This code is relevant in both acute and chronic care settings, facilitating accurate communication among healthcare providers and ensuring appropriate billing practices.

What Does ICD-10 Code A06.1 for Chronic intestinal amebiasis Mean in SOAP Notes?

ICD-10 Code A06.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of chronic intestinal amebiasis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A06.1 – Chronic intestinal amebiasis

Chronic intestinal amebiasis requires prompt medical attention to prevent complications. Treatment typically involves specific antibiotic therapy and supportive care.

Antibiotic Therapy:

  • Metronidazole (750 mg TID for 5-10 days)
  • Tinidazole (2 g once daily for 3 days)
  • Iodoquinol (650 mg TID for 20 days)
  • Alternative: Nitazoxanide (500 mg BID for 3 days)

Supportive Care:

  • Hydration and electrolyte replacement
  • Nutritional support to address malnutrition
  • Monitoring for complications such as perforation

Infection Control:

  • Strict hand hygiene practices
  • Safe food and water consumption
  • Isolation precautions during outbreaks

How to Document Symptoms of Chronic intestinal amebiasis (ICD-10 A06.1) in SOAP Notes

Subjective:

  • Patient reports persistent diarrhea for several weeks
  • Complains of abdominal pain and cramping
  • Noticed weight loss and fatigue
  • History of travel to endemic areas

Objective:

  • Abdominal tenderness on palpation
  • Presence of mucus and blood in stool
  • Vital signs: slight fever, tachycardia
  • Laboratory tests: positive stool antigen for E. histolytica
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SOAP Note Guidelines for Diagnosing Chronic intestinal amebiasis (ICD-10 Code A06.1)

Assessment:

  • Diagnosis: Chronic intestinal amebiasis, moderate severity
  • ICD-10 Code: A06.1
  • Contributing factors: Recent travel to endemic regions, possible contaminated food or water exposure
  • Symptoms consistent with chronic infection

Plan:

  • Initiate metronidazole therapy as per guidelines
  • Educate patient on hydration and dietary modifications
  • Schedule follow-up in one week to assess treatment response
  • Monitor for any signs of complications

Treatment & Plan Section for ICD-10 Code A06.1 – Chronic intestinal amebiasis

  • First-line treatment with metronidazole or tinidazole
  • Nutritional counseling to address weight loss
  • Regular follow-up appointments to monitor symptoms
  • Patient education on prevention and hygiene practices

Using ICD-10 Code A06.1 for Chronic intestinal amebiasis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings
  • Use A06.1 in conjunction with relevant CPT codes for laboratory tests
  • Document treatment plans that align with clinical guidelines
  • Maintain clear records to support billing and reimbursement

ICD-10 Code A06.1 in Medical Billing and Insurance for Chronic intestinal amebiasis

ICD-10 Code A06.1 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 symptoms clearly
  • Use A06.1 in appropriate clinical settings to support claims
  • Ensure compliance with payer guidelines for documentation
  • Include detailed treatment plans in the medical record

Common CPT Pairings:

CPT CodeDescription
87449Infectious agent detection by nucleic acid (E. histolytica)
99213Established patient office visit, level 3
96372Therapeutic, prophylactic, or diagnostic injection
99214Established patient office visit, level 4

Frequently Asked Questions

Common Questions About Using ICD-10 Code A06.1 for Chronic intestinal amebiasis

What are the common symptoms of chronic intestinal amebiasis?

Common symptoms include persistent diarrhea, abdominal pain, cramping, and weight loss. Patients may also experience fatigue and signs of malnutrition due to prolonged gastrointestinal distress.

How is chronic intestinal amebiasis diagnosed?

Diagnosis typically involves stool tests to detect Entamoeba histolytica, along with clinical evaluation of symptoms and patient history, particularly recent travel to endemic areas.

What is the treatment for chronic intestinal amebiasis?

Treatment usually involves antibiotics such as metronidazole or tinidazole, along with supportive care to manage symptoms and prevent dehydration.

Is chronic intestinal amebiasis contagious?

Chronic intestinal amebiasis is not directly contagious; however, it can spread through contaminated food and water. Proper hygiene and sanitation are essential to prevent transmission.

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