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ICD-10 Code A06.3 | Ameboma of intestine Symptoms, Diagnosis, Billing

Ameboma of intestine is a localized mass or lesion in the intestinal wall caused by Entamoeba histolytica infection. This condition is clinically significant as it can lead to intestinal obstruction, perforation, or abscess formation. Accurate coding with ICD-10 Code A06.3 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this infectious disease.

What is ICD-10 Code A06.3 for Ameboma of intestine?

ICD-10 Code A06.3 represents Ameboma of intestine, a complication of amebiasis characterized by the formation of a tumor-like mass in the intestinal wall due to Entamoeba histolytica infection. This code should be used in clinical documentation and billing when a patient presents with symptoms indicative of this condition, ensuring accurate representation of the patient's diagnosis and facilitating appropriate treatment.

ICD-10 Code A06.3 – Clinical Definition and Explanation of Ameboma of intestine

Ameboma of intestine is caused by the invasion of the intestinal mucosa by Entamoeba histolytica, leading to localized inflammation and the formation of a mass. This condition can progress to severe complications, including intestinal obstruction or perforation, necessitating prompt medical intervention.

Key Clinical Features:

  • Abdominal pain and tenderness, particularly in the lower abdomen.
  • Diarrhea, which may be bloody or mucoid.
  • Fever and malaise indicating systemic infection.
  • Weight loss and dehydration due to prolonged gastrointestinal symptoms.

ICD-10 Code A06.3 for Ameboma of intestine – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A06.3 is utilized to document the patient's symptoms, assessment findings, and treatment plan. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and guiding clinical decision-making.

What Does ICD-10 Code A06.3 for Ameboma of intestine Mean in SOAP Notes?

ICD-10 Code A06.3 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Ameboma of intestine. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A06.3 – Ameboma of intestine

Ameboma of intestine requires urgent medical attention, often necessitating hospitalization for effective management. Treatment typically involves antibiotic therapy and supportive care.

Antibiotic Therapy:

  • Metronidazole: 750 mg orally three times daily for 7-10 days.
  • Tinidazole: 2 g orally once daily for 3 days.
  • Alternative: Iodoquinol: 650 mg orally three times daily for 20 days.

Supportive Care:

  • Hydration therapy to prevent dehydration.
  • Nutritional support as needed.
  • Monitoring for complications such as perforation or abscess.

Infection Control:

  • Strict hand hygiene practices.
  • Isolation precautions if indicated during outbreaks.
  • Education on safe food and water practices.

How to Document Symptoms of Ameboma of intestine (ICD-10 A06.3) in SOAP Notes

Subjective:

  • Patient reports persistent abdominal pain, worsening over the past week.
  • History of diarrhea with occasional blood and mucus.
  • Fever and chills experienced intermittently.
  • Notable weight loss over the last month.

Objective:

  • Abdominal examination reveals tenderness in the lower quadrants.
  • Vital signs: Temperature 101°F, heart rate 98 bpm.
  • Laboratory tests show leukocytosis.
  • Imaging studies indicate thickening of the intestinal wall.
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SOAP Note Guidelines for Diagnosing Ameboma of intestine (ICD-10 Code A06.3)

Assessment:

  • Diagnosis: Ameboma of intestine, moderate severity.
  • ICD-10 Code: A06.3.
  • Contributing factors: Recent travel to endemic areas, possible exposure to contaminated food or water.
  • Symptoms consistent with intestinal amebiasis.

Plan:

  • Initiate metronidazole therapy as per guidelines.
  • Provide hydration and nutritional support.
  • Monitor for signs of intestinal obstruction or perforation.
  • Schedule follow-up in one week to reassess symptoms and treatment efficacy.

Treatment & Plan Section for ICD-10 Code A06.3 – Ameboma of intestine

  • First-line pharmacologic treatment includes metronidazole or tinidazole.
  • Non-pharmacologic strategies involve hydration and nutritional support.
  • Monitoring for complications through regular follow-up visits.
  • Patient education on hygiene and safe food practices to prevent recurrence.

Using ICD-10 Code A06.3 for Ameboma of intestine in Billing & SOAP Note Compliance

  • Select appropriate ICD-10 code based on clinical findings and documentation.
  • Ensure Subjective (S) and Objective (O) sections clearly reflect symptoms and clinical findings.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Include only relevant CPT codes that correspond with the diagnosis and treatment provided.

ICD-10 Code A06.3 in Medical Billing and Insurance for Ameboma of intestine

ICD-10 Code A06.3 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

  • Document all relevant clinical findings and treatment plans to support the ICD-10 claim.
  • Use this code in settings where patients present with gastrointestinal symptoms indicative of amebiasis.
  • Ensure that all chart elements, including lab results and imaging, are included to justify the diagnosis.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, Level 3.
87581Infectious agent detection by nucleic acid (DNA or RNA); Entamoeba histolytica.
45378Colonoscopy, flexible, diagnostic, including collection of specimen(s) by brushing or washing.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A06.3 for Ameboma of intestine

What are the common symptoms of Ameboma of intestine?

Common symptoms include abdominal pain, diarrhea (which may be bloody), fever, and weight loss. Patients may also experience nausea and vomiting, indicating a more severe infection.

How is Ameboma of intestine diagnosed?

Diagnosis typically involves clinical evaluation, imaging studies such as CT scans, and laboratory tests to detect Entamoeba histolytica. A definitive diagnosis may require endoscopic biopsy.

What is the treatment for Ameboma of intestine?

Treatment usually involves antibiotics such as metronidazole or tinidazole, along with supportive care for hydration and nutrition. Severe cases may require surgical intervention.

Is Ameboma of intestine contagious?

Ameboma of intestine itself is not contagious; however, the underlying infection (amebiasis) can spread through contaminated food and water. Proper hygiene and sanitation are essential to prevent transmission.

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