ICD-10 Code A06.81 | Amebic cystitis Symptoms, Diagnosis, Billing

Amebic cystitis is an infection of the bladder caused by the parasite Entamoeba histolytica. It is clinically significant due to its potential to cause severe urinary symptoms and complications, particularly in immunocompromised individuals. Accurate coding with ICD-10 Code A06.81 ensures proper diagnosis, documentation, and billing, facilitating effective public health reporting and resource allocation.

What is ICD-10 Code A06.81 for Amebic cystitis?

ICD-10 Code A06.81 represents Amebic cystitis, an inflammatory condition of the bladder resulting from infection by Entamoeba histolytica. This code should be used in clinical documentation when a patient presents with urinary symptoms linked to this parasitic infection, ensuring appropriate billing and treatment protocols are followed.

ICD-10 Code A06.81 – Clinical Definition and Explanation of Amebic cystitis

Amebic cystitis is primarily caused by the ingestion of contaminated food or water, leading to the colonization of the bladder by Entamoeba histolytica. The condition can progress to severe urinary symptoms and requires prompt medical attention to prevent complications such as abscess formation. Early diagnosis and treatment are crucial.

Key Clinical Features:

• Dysuria or painful urination
• Frequent urination or urgency
• Hematuria or blood in urine
• Lower abdominal pain or discomfort

ICD-10 Code A06.81 for Amebic cystitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A06.81 is utilized to document the diagnosis of Amebic cystitis, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A06.81 for Amebic cystitis Mean in SOAP Notes?

ICD-10 Code A06.81 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Amebic cystitis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A06.81 – Amebic cystitis

Amebic cystitis may require hospitalization for severe cases, particularly in immunocompromised patients. Treatment typically involves targeted antibiotic therapy.

Antibiotic Therapy:

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

Supportive Care:

• Hydration to prevent dehydration
• Pain management with analgesics
• Monitoring for complications such as abscess formation

Infection Control:

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

How to Document Symptoms of Amebic cystitis (ICD-10 A06.81) in SOAP Notes

Subjective:

• Patient reports dysuria and increased urinary frequency.
• History of recent travel to endemic areas.
• Complaints of lower abdominal pain.
• Noted presence of blood in urine.

Objective:

• Vital signs: stable, afebrile.
• Abdominal examination: tenderness in suprapubic area.
• Urinalysis: positive for blood and leukocytes.
• Imaging: ultrasound shows bladder wall thickening.

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SOAP Note Guidelines for Diagnosing Amebic cystitis (ICD-10 Code A06.81)

Assessment:

• Diagnosis: Amebic cystitis, moderate severity.
• ICD-10 Code: A06.81.
• Contributing factors: Recent travel to endemic areas.
• Potential triggers: Contaminated food or water.

Plan:

• Initiate metronidazole therapy as per guidelines.
• Educate patient on hydration and symptom management.
• Schedule follow-up in one week to monitor response.
• Consider referral to infectious disease specialist if no improvement.

Treatment & Plan Section for ICD-10 Code A06.81 – Amebic cystitis

• First-line treatment with metronidazole or tinidazole.
• Encourage increased fluid intake to prevent dehydration.
• Monitor for resolution of symptoms and potential complications.
• Educate on prevention strategies to avoid future infections.

Using ICD-10 Code A06.81 for Amebic cystitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use A06.81 in appropriate clinical settings, including ER and inpatient care.
• Align treatment plans with clinical guidelines to support billing.
• Document all relevant patient education and follow-up plans.

Related ICD-10 Codes Often Used with Amebic cystitis

• A06.0 – Amoebic dysentery
• A06.9 – Amoebiasis, unspecified
• N30.0 – Acute cystitis
• N39.0 – Urinary tract infection, site not specified

ICD-10 Code A06.81 in Medical Billing and Insurance for Amebic cystitis

ICD-10 Code A06.81 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and presenting symptoms.
• Use A06.81 in conjunction with appropriate CPT codes for services rendered.
• Ensure all documentation supports the medical necessity of the diagnosis.
• Review coding guidelines for updates on billing practices.

Common CPT Pairings: