ICD-10 Code A23.1 | Brucellosis due to Brucella abortus Symptoms, Diagnosis, Billing

Brucellosis due to Brucella abortus is a zoonotic infection caused by the Brucella abortus bacterium, primarily transmitted from animals to humans. Clinically significant due to its potential to cause severe systemic illness, accurate coding with ICD-10 Code A23.1 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring effective management and tracking of this infectious disease.

What is ICD-10 Code A23.1 for Brucellosis due to Brucella abortus?

ICD-10 Code A23.1 specifically denotes Brucellosis due to Brucella abortus, an infectious disease characterized by fever, sweats, malaise, and muscle pain. This code should be utilized in clinical documentation and billing when a patient presents with symptoms consistent with brucellosis, particularly following exposure to infected animals or unpasteurized dairy products.

ICD-10 Code A23.1 – Clinical Definition and Explanation of Brucellosis due to Brucella abortus

Brucellosis due to Brucella abortus is caused by the ingestion of contaminated food or direct contact with infected animals. The disease can progress to chronic conditions if untreated, necessitating prompt medical attention to prevent complications.

Key Clinical Features:

• Fever, often undulant, with chills and sweats.
• Muscle and joint pain, commonly affecting the back and limbs.
• Fatigue and malaise, leading to decreased functional capacity.
• Potential complications include osteomyelitis and endocarditis.

ICD-10 Code A23.1 for Brucellosis due to Brucella abortus – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A23.1 is utilized to document the patient's symptoms, assessment findings, and treatment plans related to brucellosis. This code is relevant in both acute and chronic care settings, facilitating accurate communication among healthcare providers.

What Does ICD-10 Code A23.1 for Brucellosis due to Brucella abortus Mean in SOAP Notes?

ICD-10 Code A23.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of brucellosis. This ensures continuity of care, supports appropriate billing practices, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A23.1 – Brucellosis due to Brucella abortus

Brucellosis due to Brucella abortus requires prompt treatment to prevent complications and manage symptoms effectively.

Antibiotic Therapy:

• Doxycycline 100 mg orally twice daily for 6 weeks.
• Rifampin 600 mg orally daily for 6 weeks.
• Alternative: Streptomycin 1 g intramuscularly daily for 2-3 weeks.

Supportive Care:

• Hydration and rest to manage fatigue.
• Analgesics for pain relief.
• Monitoring for potential complications.

Infection Control:

• Educate patients on avoiding unpasteurized dairy products.
• Implement precautions in healthcare settings to prevent transmission.
• Report cases to public health authorities as required.

How to Document Symptoms of Brucellosis due to Brucella abortus (ICD-10 A23.1) in SOAP Notes

Subjective:

• Patient reports intermittent fever and chills over the past week.
• Complains of muscle aches and joint pain, particularly in the lower back.
• History of exposure to livestock and consumption of unpasteurized cheese.

Objective:

• Vital signs: Temperature 101°F, pulse 88 bpm, respiratory rate 16/min.
• Physical examination reveals tenderness in the lumbar region.
• Laboratory tests show elevated white blood cell count and positive serology for Brucella.

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SOAP Note Guidelines for Diagnosing Brucellosis due to Brucella abortus (ICD-10 Code A23.1)

Assessment:

• Diagnosis: Brucellosis due to Brucella abortus, moderate severity.
• ICD-10 Code: A23.1.
• Contributing factors: Recent exposure to infected animals and consumption of unpasteurized dairy.

Plan:

• Initiate antibiotic therapy with doxycycline and rifampin.
• Educate patient on the importance of completing the antibiotic course.
• Schedule follow-up appointment in 2 weeks to monitor progress.

Treatment & Plan Section for ICD-10 Code A23.1 – Brucellosis due to Brucella abortus

• First-line pharmacologic treatment includes doxycycline and rifampin.
• Non-pharmacologic strategies involve patient education on dietary precautions.
• Monitoring includes follow-up serological testing to assess treatment efficacy.
• Encourage lifestyle modifications to enhance recovery and prevent reinfection.

Using ICD-10 Code A23.1 for Brucellosis due to Brucella abortus in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical presentation and severity.
• 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 laboratory tests and follow-up visits.

Related ICD-10 Codes Often Used with Brucellosis due to Brucella abortus

• A23.0 – Brucellosis due to Brucella melitensis
• A23.2 – Brucellosis due to Brucella suis
• A23.3 – Brucellosis due to Brucella canis
• A23.9 – Brucellosis, unspecified

ICD-10 Code A23.1 in Medical Billing and Insurance for Brucellosis due to Brucella abortus

ICD-10 Code A23.1 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and exposure risks to support the diagnosis.
• Use the code in conjunction with appropriate CPT codes for laboratory tests.
• Ensure documentation reflects the severity and treatment plan for compliance.

Common CPT Pairings: