ICD-10 Code A23.8 | Other brucellosis Symptoms, Diagnosis, Billing

Other brucellosis refers to infections caused by various species of the Brucella bacteria, which are primarily transmitted from animals to humans. This condition is clinically significant due to its potential to cause severe systemic illness, including fever, malaise, and joint pain. Accurate coding with ICD-10 Code A23.8 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track cases of brucellosis.

What is ICD-10 Code A23.8 for Other brucellosis?

ICD-10 Code A23.8 represents Other brucellosis, a zoonotic infection caused by Brucella species not classified elsewhere. This code is used when the specific type of brucellosis is not identified, but the clinical presentation aligns with brucellosis. It is important for healthcare providers to use this code in clinical documentation and billing when diagnosing patients with brucellosis that does not fit into the more specific categories.

ICD-10 Code A23.8 – Clinical Definition and Explanation of Other brucellosis

Other brucellosis is caused by the Brucella bacteria, which can be transmitted through unpasteurized dairy products, direct contact with infected animals, or inhalation of aerosols. The disease can progress to chronic conditions if not treated promptly, necessitating medical attention to prevent complications.

Key Clinical Features:

• Fever, often undulating in nature
• Fatigue and malaise
• Musculoskeletal pain, particularly in joints
• Sweats and chills

ICD-10 Code A23.8 for Other brucellosis – SOAP Notes & Clinical Use

ICD-10 Code A23.8 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to Other brucellosis. 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 A23.8 for Other brucellosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A23.8 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Other brucellosis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A23.8 – Other brucellosis

Prompt treatment of Other brucellosis is essential to prevent complications and manage symptoms effectively. Hospitalization may be required for severe cases.

Antibiotic Therapy:

• Doxycycline 100 mg orally twice daily for 6 weeks
• Rifampin 600 mg orally once daily for 6 weeks
• Gentamicin 5 mg/kg intravenously daily for 7 days (alternative)

Supportive Care:

• Hydration and electrolyte management
• Pain management with NSAIDs
• Monitoring for complications such as osteomyelitis

Infection Control:

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

How to Document Symptoms of Other brucellosis (ICD-10 A23.8) in SOAP Notes

Subjective:

• Patient reports intermittent fever and chills over the past week.
• Complains of joint pain, particularly in the lower back.
• States feeling fatigued and has experienced night sweats.

Objective:

• Vital signs: Temperature 101°F, heart rate 90 bpm.
• Physical examination reveals tenderness in the lumbar region.
• Laboratory tests show elevated white blood cell count and positive serology for brucellosis.

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SOAP Note Guidelines for Diagnosing Other brucellosis (ICD-10 Code A23.8)

Assessment:

• Diagnosis: Other brucellosis (ICD-10 A23.8), moderate severity.
• Consider exposure history to livestock or unpasteurized dairy.
• Common triggers include occupational exposure in farming or veterinary settings.

Plan:

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

Treatment & Plan Section for ICD-10 Code A23.8 – Other brucellosis

• First-line pharmacologic treatment includes doxycycline and rifampin.
• Non-pharmacologic strategies involve patient education on disease transmission.
• Monitoring includes regular follow-up appointments to assess treatment efficacy.
• Consider referral to infectious disease specialist for complicated cases.

Using ICD-10 Code A23.8 for Other brucellosis in Billing & SOAP Note Compliance

• Select appropriate documentation that clearly outlines symptoms and exposure history.
• Ensure accurate coding in both inpatient and outpatient settings.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes for laboratory tests and consultations.

Related ICD-10 Codes Often Used with Other brucellosis

• A23.0 – Brucellosis due to Brucella abortus
• A23.1 – Brucellosis due to Brucella melitensis
• A23.2 – Brucellosis due to Brucella suis
• A23.3 – Brucellosis due to Brucella canis

ICD-10 Code A23.8 in Medical Billing and Insurance for Other brucellosis

ICD-10 Code A23.8 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings and patient history to support the diagnosis.
• Use this code in conjunction with appropriate CPT codes for laboratory tests.
• Ensure compliance with payer guidelines for accurate claim submissions.

Common CPT Pairings: