ICD-10 Code A21.0 | Ulceroglandular tularemia Symptoms, Diagnosis, Billing

Ulceroglandular tularemia is a zoonotic infection caused by the bacterium Francisella tularensis, primarily transmitted through contact with infected animals or their products. It is characterized by ulcerative skin lesions and lymphadenopathy. Accurate coding with ICD-10 Code A21.0 is essential for proper diagnosis, documentation, billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this infectious disease.

What is ICD-10 Code A21.0 for Ulceroglandular tularemia?

ICD-10 Code A21.0 represents Ulceroglandular tularemia, a form of tularemia that presents with skin ulcers and swollen lymph nodes. This code should be used when documenting cases of ulceroglandular tularemia in clinical settings, ensuring accurate billing and facilitating appropriate treatment protocols for affected patients.

ICD-10 Code A21.0 – Clinical Definition and Explanation of Ulceroglandular tularemia

Ulceroglandular tularemia is caused by the bacterium Francisella tularensis, often contracted through direct contact with infected animals or their tissues. The condition can progress rapidly, leading to severe symptoms that necessitate prompt medical intervention.

Key Clinical Features:

• Development of painful skin ulcers at the site of infection.
• Swollen and tender lymph nodes, particularly in the region nearest the ulcer.
• Fever, chills, and malaise as systemic symptoms.
• Possible conjunctivitis if the eyes are involved.

ICD-10 Code A21.0 for Ulceroglandular tularemia – SOAP Notes & Clinical Use

ICD-10 Code A21.0 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans for ulceroglandular tularemia. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A21.0 for Ulceroglandular tularemia Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A21.0 connects subjective patient-reported symptoms with objective clinical findings, facilitating a formal diagnosis of ulceroglandular tularemia. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A21.0 – Ulceroglandular tularemia

Ulceroglandular tularemia requires prompt medical attention, often necessitating hospitalization for severe cases. Appropriate antibiotic therapy is crucial for effective treatment.

Antibiotic Therapy:

• First-line: Streptomycin (7-14 days) or Gentamicin (7-14 days).
• Alternative: Doxycycline (10-21 days) for patients unable to tolerate aminoglycosides.
• Alternative: Ciprofloxacin (10-21 days) for specific cases.

Supportive Care:

• Pain management with analgesics.
• Wound care for ulcerative lesions.
• Hydration and nutritional support as needed.

Infection Control:

• Implement standard precautions to prevent transmission.
• Educate patients on avoiding contact with potentially infected animals.
• Monitor for outbreaks in endemic areas.

How to Document Symptoms of Ulceroglandular tularemia (ICD-10 A21.0) in SOAP Notes

Subjective:

• Patient reports a painful ulcer on the forearm.
• History of recent exposure to wild animals.
• Complaints of fever and chills over the past week.
• Noted swelling in the axillary region.

Objective:

• Ulcerative lesion measuring 3 cm with necrotic tissue.
• Tender lymphadenopathy in the left axilla.
• Temperature of 101°F.
• WBC count elevated at 15,000/mm³.

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SOAP Note Guidelines for Diagnosing Ulceroglandular tularemia (ICD-10 Code A21.0)

Assessment:

• Diagnosis: Ulceroglandular tularemia, moderate severity.
• ICD-10 Code: A21.0.
• Contributing factors: Recent exposure to infected animals.
• Symptoms consistent with infectious etiology.

Plan:

• Initiate treatment with Streptomycin 1 g IM every 12 hours for 10 days.
• Educate patient on wound care and signs of complications.
• Schedule follow-up in one week to assess treatment response.
• Consider referral to infectious disease specialist if no improvement.

Treatment & Plan Section for ICD-10 Code A21.0 – Ulceroglandular tularemia

• Administer appropriate antibiotics based on susceptibility.
• Provide patient education on infection prevention and wound care.
• Monitor for signs of systemic infection or complications.
• Schedule regular follow-ups to evaluate treatment efficacy.

Using ICD-10 Code A21.0 for Ulceroglandular tularemia in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use A21.0 in conjunction with relevant CPT codes for billing.
• Maintain compliance with coding guidelines to support claims.
• Document treatment plans that align with clinical guidelines.

Related ICD-10 Codes Often Used with Ulceroglandular tularemia

• A20.0 – Plague, unspecified
• A21.1 – Pneumonic tularemia
• A21.9 – Tularemia, unspecified
• A22.0 – Anthrax, cutaneous

ICD-10 Code A21.0 in Medical Billing and Insurance for Ulceroglandular tularemia

ICD-10 Code A21.0 is critical in billing for hospital, emergency room, or infectious disease care related to ulceroglandular tularemia.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use A21.0 in appropriate settings to ensure accurate billing.
• Include key elements in the chart, such as exposure history and symptom onset.
• Ensure compliance with payer requirements for infectious disease coding.

Common CPT Pairings: