ICD-10 Code A21.1 | Oculoglandular tularemia Symptoms, Diagnosis, Billing

Oculoglandular tularemia is a rare infectious disease caused by the bacterium Francisella tularensis, primarily transmitted through contact with infected animals or their tissues. This condition is clinically significant due to its potential for severe ocular and systemic manifestations. Accurate coding with ICD-10 Code A21.1 facilitates precise diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code A21.1 for Oculoglandular tularemia?

ICD-10 Code A21.1 represents Oculoglandular tularemia, an infection characterized by conjunctivitis and lymphadenopathy due to exposure to the tularemia bacterium. This code should be used in clinical documentation when a patient presents with ocular symptoms and a history of potential exposure, ensuring accurate billing and tracking of this infectious disease.

ICD-10 Code A21.1 – Clinical Definition and Explanation of Oculoglandular tularemia

Oculoglandular tularemia is caused by the bacterium Francisella tularensis, often resulting from direct contact with infected animals or their secretions. The condition can progress rapidly, leading to significant ocular symptoms and systemic illness, necessitating prompt medical attention.

Key Clinical Features:

• Conjunctivitis with purulent discharge
• Preauricular lymphadenopathy
• Fever and malaise
• Possible ulceration of the conjunctiva

ICD-10 Code A21.1 for Oculoglandular tularemia – SOAP Notes & Clinical Use

ICD-10 Code A21.1 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan for Oculoglandular tularemia. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's clinical status.

What Does ICD-10 Code A21.1 for Oculoglandular tularemia Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A21.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Oculoglandular tularemia. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A21.1 – Oculoglandular tularemia

Oculoglandular tularemia requires prompt medical intervention, often necessitating hospitalization for severe cases. Appropriate antibiotic therapy is critical for effective management.

Antibiotic Therapy:

• Streptomycin: 1 g IM every 12 hours for 10 days
• Gentamicin: 5 mg/kg/day IV divided into 3 doses for 10 days
• Doxycycline: 100 mg orally twice daily for 14 days (alternative)

Supportive Care:

• Cool compresses to relieve ocular discomfort
• Pain management with analgesics
• Hydration and monitoring of vital signs

Infection Control:

• Implement standard precautions to prevent transmission
• Educate patients on avoiding contact with potentially infected animals
• Report cases to public health authorities as required

How to Document Symptoms of Oculoglandular tularemia (ICD-10 A21.1) in SOAP Notes

Subjective:

• Patient reports redness and discharge from the right eye.
• History of recent exposure to wild rabbits.
• Complaints of fever and fatigue over the past week.
• Notable pain in the preauricular area.

Objective:

• Conjunctival injection and purulent discharge noted on examination.
• Preauricular lymphadenopathy observed.
• Temperature recorded at 101°F.
• Visual acuity testing reveals no significant loss.

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SOAP Note Guidelines for Diagnosing Oculoglandular tularemia (ICD-10 Code A21.1)

Assessment:

• Diagnosis: Oculoglandular tularemia, moderate severity.
• ICD-10 Code: A21.1.
• Recent exposure to infected animals identified as a contributing factor.
• Symptoms consistent with ocular infection and systemic involvement.

Plan:

• Initiate treatment with Streptomycin 1 g IM every 12 hours for 10 days.
• Provide patient education on the nature of the infection and treatment plan.
• Schedule follow-up in one week to monitor progress.
• Advise on symptom management and when to seek further care.

Treatment & Plan Section for ICD-10 Code A21.1 – Oculoglandular tularemia

• First-line treatment with Streptomycin or Gentamicin.
• Consider Doxycycline as an alternative for non-pregnant adults.
• Monitor for resolution of symptoms and any potential complications.
• Educate on preventive measures to avoid future infections.

Using ICD-10 Code A21.1 for Oculoglandular tularemia in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and exposure history in Subjective (S) and Objective (O) sections.
• Utilize A21.1 for billing related to outpatient and inpatient care for Oculoglandular tularemia.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Oculoglandular tularemia

• A21.0 – Tularemia, glandular type
• A21.9 – Tularemia, unspecified
• A49.8 – Bacterial infection, unspecified
• H10.1 – Acute conjunctivitis, viral

ICD-10 Code A21.1 in Medical Billing and Insurance for Oculoglandular tularemia

ICD-10 Code A21.1 is essential for accurate billing in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant symptoms and exposure history to support the claim.
• Use A21.1 in conjunction with appropriate CPT codes for services rendered.
• Ensure compliance with payer-specific guidelines for infectious disease coding.
• Review documentation for completeness to avoid claim denials.

Common CPT Pairings: