ICD-10 Code A06.2 | Amebic nondysenteric colitis Symptoms, Diagnosis, Billing

Amebic nondysenteric colitis is an intestinal infection caused by the parasite Entamoeba histolytica, leading to inflammation of the colon without the presence of dysentery. This condition is clinically significant as it can result in severe gastrointestinal symptoms and complications if left untreated. The ICD-10 Code A06.2 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring proper management of this infectious disease.

What is ICD-10 Code A06.2 for Amebic nondysenteric colitis?

ICD-10 Code A06.2 represents amebic nondysenteric colitis, an intestinal infection characterized by inflammation of the colon due to 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, but without dysentery. Accurate coding is essential for effective treatment and epidemiological tracking.

ICD-10 Code A06.2 – Clinical Definition and Explanation of Amebic nondysenteric colitis

Amebic nondysenteric colitis is primarily caused by the ingestion of cysts of Entamoeba histolytica, often through contaminated food or water. The condition can progress to more severe forms if not treated, necessitating medical attention to prevent complications such as perforation or abscess formation.

Key Clinical Features:

• Abdominal pain and cramping
• Diarrhea, which may be watery
• Nausea and vomiting
• Weight loss and dehydration

ICD-10 Code A06.2 for Amebic nondysenteric colitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A06.2 is utilized to document the patient's symptoms, assessment findings, and treatment plans related to amebic nondysenteric colitis. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation for effective patient management.

What Does ICD-10 Code A06.2 for Amebic nondysenteric colitis Mean in SOAP Notes?

ICD-10 Code A06.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of amebic nondysenteric colitis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A06.2 – Amebic nondysenteric colitis

Amebic nondysenteric colitis requires prompt treatment to prevent complications. Hospitalization may be necessary in severe cases, and appropriate antibiotic therapy is essential.

Antibiotic Therapy:

• Metronidazole: 750 mg orally three times daily for 5-10 days
• Tinidazole: 2 g orally once daily for 3 days
• Iodoquinol: 650 mg orally three times daily for 20 days

Supportive Care:

• Hydration with oral rehydration solutions
• Nutritional support as needed
• Monitoring for signs of complications

Infection Control:

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

How to Document Symptoms of Amebic nondysenteric colitis (ICD-10 A06.2) in SOAP Notes

Subjective:

• Patient reports abdominal pain and cramping.
• Diarrhea described as watery, occurring multiple times daily.
• History of recent travel to endemic areas.
• Weight loss noted over the past few weeks.

Objective:

• Abdominal tenderness on palpation.
• Vital signs: slight tachycardia, normal blood pressure.
• Stool examination shows presence of Entamoeba histolytica cysts.
• Laboratory tests indicate mild dehydration.

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SOAP Note Guidelines for Diagnosing Amebic nondysenteric colitis (ICD-10 Code A06.2)

Assessment:

• Diagnosis: Amebic nondysenteric colitis, moderate severity.
• ICD-10 Code: A06.2.
• Contributing factors: Recent travel to endemic regions, possible contaminated food or water exposure.
• Symptoms consistent with parasitic infection.

Plan:

• Initiate metronidazole therapy as per guidelines.
• Educate patient on hydration and dietary modifications.
• Monitor for improvement in symptoms and hydration status.
• Schedule follow-up in one week to reassess.

Treatment & Plan Section for ICD-10 Code A06.2 – Amebic nondysenteric colitis

• First-line pharmacologic treatment includes metronidazole or tinidazole.
• Non-pharmacologic strategies involve hydration and nutritional support.
• Monitoring includes assessing hydration status and symptom resolution.
• Follow-up appointments to ensure treatment efficacy and prevent complications.

Using ICD-10 Code A06.2 for Amebic nondysenteric colitis in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical findings and documentation.
• Document symptoms clearly under Subjective (S) and Objective (O) sections.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Include relevant CPT codes for services rendered during the visit.

Related ICD-10 Codes Often Used with Amebic nondysenteric colitis

• A06.0 – Amebic dysentery
• A06.1 – Amebic colitis, unspecified
• A06.3 – Amebic liver abscess
• A06.4 – Amebic infection of other sites

ICD-10 Code A06.2 in Medical Billing and Insurance for Amebic nondysenteric colitis

ICD-10 Code A06.2 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Ensure accurate documentation of symptoms and treatment to support claims.
• Use the code in conjunction with relevant clinical findings for comprehensive billing.
• Document any complications or additional diagnoses to justify care provided.
• Familiarize with payer-specific guidelines for coding and billing.

Common CPT Pairings: