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ICD-10 Code A23.2 | Brucellosis due to Brucella suis Symptoms, Diagnosis, Billing

Brucellosis due to Brucella suis is a zoonotic infection caused by the Brucella suis bacterium, primarily affecting swine and occasionally transmitted to humans. This condition is clinically significant due to its potential to cause severe systemic illness, including fever, malaise, and musculoskeletal pain. Accurate coding with ICD-10 Code A23.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate treatment and resource allocation.

What is ICD-10 Code A23.2 for Brucellosis due to Brucella suis?

ICD-10 Code A23.2 specifically represents Brucellosis due to Brucella suis, a bacterial infection that can lead to serious health complications if left untreated. This code should be used in clinical documentation and billing when a patient presents with symptoms consistent with brucellosis, particularly following exposure to infected animals or animal products, ensuring accurate tracking of the disease for epidemiological purposes.

ICD-10 Code A23.2 – Clinical Definition and Explanation of Brucellosis due to Brucella suis

Brucellosis due to Brucella suis is caused by the ingestion of contaminated food or direct contact with infected animals. The disease can progress to chronic forms if not treated promptly, necessitating medical intervention to prevent complications such as osteoarticular infections or endocarditis.

Key Clinical Features:

  • Fever, chills, and night sweats are common initial symptoms.
  • Musculoskeletal pain, particularly in the back and joints.
  • Fatigue and malaise that may persist for weeks.
  • Potential for chronic infection leading to long-term health issues.

ICD-10 Code A23.2 for Brucellosis due to Brucella suis – SOAP Notes & Clinical Use

ICD-10 Code A23.2 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, facilitating comprehensive patient management and ensuring accurate billing.

What Does ICD-10 Code A23.2 for Brucellosis due to Brucella suis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A23.2 connects subjective patient-reported symptoms with objective clinical findings, leading to a formal diagnosis. This code is crucial for ensuring continuity of care, supporting appropriate billing practices, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A23.2 – Brucellosis due to Brucella suis

Brucellosis due to Brucella suis requires prompt medical attention and often hospitalization for severe cases. Treatment typically involves antibiotic therapy to eradicate the infection.

Antibiotic Therapy:

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

Supportive Care:

  • Hydration and rest to support recovery.
  • Pain management with NSAIDs for musculoskeletal symptoms.
  • Monitoring for potential complications such as abscess formation.

Infection Control:

  • Implement standard precautions to prevent transmission.
  • Educate patients on avoiding contact with infected animals.
  • Report cases to public health authorities for outbreak management.

How to Document Symptoms of Brucellosis due to Brucella suis (ICD-10 A23.2) in SOAP Notes

Subjective:

  • Patient reports intermittent fever and chills over the past week.
  • Complains of joint pain, particularly in the lower back.
  • History of exposure to livestock in the past month.
  • Experiencing fatigue and night sweats.

Objective:

  • Vital signs: Temperature 101°F, pulse 90 bpm.
  • Physical exam reveals tenderness in lumbar region.
  • Laboratory tests show elevated white blood cell count.
  • Blood cultures positive for Brucella species.
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SOAP Note Guidelines for Diagnosing Brucellosis due to Brucella suis (ICD-10 Code A23.2)

Assessment:

  • Diagnosis: Brucellosis due to Brucella suis, moderate severity.
  • ICD-10 Code: A23.2.
  • Contributing factors: Recent exposure to infected animals.
  • Symptoms consistent with acute brucellosis.

Plan:

  • Initiate doxycycline and rifampin therapy for 6 weeks.
  • Educate patient on the importance of completing the antibiotic course.
  • Schedule follow-up appointment in 2 weeks to monitor progress.
  • Consider referral to infectious disease specialist if symptoms persist.

Treatment & Plan Section for ICD-10 Code A23.2 – Brucellosis due to Brucella suis

  • First-line treatment includes doxycycline and rifampin.
  • Non-pharmacologic strategies include patient education on disease transmission.
  • Monitoring for symptom resolution and potential complications.
  • Follow-up appointments to assess treatment efficacy and adherence.

Using ICD-10 Code A23.2 for Brucellosis due to Brucella suis in Billing & SOAP Note Compliance

  • Select appropriate ICD-10 code based on clinical presentation.
  • Document all relevant symptoms and findings in Subjective (S) and Objective (O) sections.
  • Ensure treatment plans align with clinical guidelines for justified billing.
  • Include only relevant CPT codes that correspond with the diagnosis.

ICD-10 Code A23.2 in Medical Billing and Insurance for Brucellosis due to Brucella suis

ICD-10 Code A23.2 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all patient encounters thoroughly to support the ICD-10 claim.
  • Use the code in conjunction with relevant clinical findings and treatment plans.
  • Ensure compliance with payer requirements for documentation and coding.
  • Review coding guidelines regularly to stay updated on best practices.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, moderate complexity.
87070Culture, bacterial; any other source.
36415Collection of venous blood by venipuncture.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A23.2 for Brucellosis due to Brucella suis

What are the common symptoms of Brucellosis due to Brucella suis?

Common symptoms include fever, chills, night sweats, joint pain, and fatigue. Patients may also experience gastrointestinal symptoms and malaise, which can vary in severity.

How is Brucellosis due to Brucella suis transmitted?

Brucellosis is primarily transmitted through the consumption of unpasteurized dairy products or direct contact with infected animals. Occupational exposure is common among farmers and veterinarians.

What is the recommended treatment for Brucellosis due to Brucella suis?

The recommended treatment typically involves a combination of antibiotics, such as doxycycline and rifampin, for a duration of 6 weeks to effectively eradicate the infection.

Is hospitalization necessary for Brucellosis due to Brucella suis?

Hospitalization may be required for severe cases, particularly if there are complications such as osteomyelitis or endocarditis. Close monitoring and supportive care are essential.

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