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ICD-10 Code A24.1 | Acute and fulminating melioidosis Symptoms, Diagnosis, Billing

Acute and fulminating melioidosis is a severe infectious disease caused by the bacterium Burkholderia pseudomallei, primarily found in tropical regions. This condition is clinically significant due to its rapid progression and potential for high morbidity and mortality. Accurate coding with ICD-10 Code A24.1 is essential for effective diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate treatment and resource allocation.

What is ICD-10 Code A24.1 for Acute and fulminating melioidosis?

ICD-10 Code A24.1 represents Acute and fulminating melioidosis, a serious infectious disease characterized by systemic infection and potential organ failure. This code should be used when documenting cases of acute melioidosis, particularly when patients present with severe symptoms or complications, ensuring accurate billing and clinical management.

ICD-10 Code A24.1 – Clinical Definition and Explanation of Acute and fulminating melioidosis

Acute and fulminating melioidosis is caused by Burkholderia pseudomallei, which can lead to severe pneumonia, septicemia, and multi-organ failure. The condition requires immediate medical attention due to its rapid progression and high mortality rate if untreated.

Key Clinical Features:

  • Rapid onset of fever, chills, and malaise.
  • Respiratory distress with cough and chest pain.
  • Abscess formation in various organs.
  • Septic shock and multi-organ dysfunction.

ICD-10 Code A24.1 for Acute and fulminating melioidosis – SOAP Notes & Clinical Use

ICD-10 Code A24.1 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 billing accuracy.

What Does ICD-10 Code A24.1 for Acute and fulminating melioidosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A24.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of acute melioidosis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A24.1 – Acute and fulminating melioidosis

Acute and fulminating melioidosis necessitates urgent medical intervention, often requiring hospitalization for intensive care and monitoring.

Antibiotic Therapy:

  • First-line: Meropenem or Imipenem for 10-14 days.
  • Alternative: Ceftazidime or Piperacillin-tazobactam for 10-14 days.
  • Follow-up therapy: Trimethoprim-sulfamethoxazole for 3-6 months.

Supportive Care:

  • Fluid resuscitation to manage septic shock.
  • Oxygen therapy for respiratory distress.
  • Monitoring and management of organ function.

Infection Control:

  • Implement standard precautions to prevent transmission.
  • Isolate patients with severe cases in healthcare settings.
  • Educate healthcare workers on handling infectious materials.

How to Document Symptoms of Acute and fulminating melioidosis (ICD-10 A24.1) in SOAP Notes

Subjective:

  • Patient reports high fever and chills for 48 hours.
  • Complains of severe chest pain and difficulty breathing.
  • History of exposure to contaminated soil or water.
  • Reports fatigue and malaise.

Objective:

  • Vital signs: Temperature 39.5°C, HR 120 bpm, BP 90/60 mmHg.
  • Auscultation reveals bilateral crackles.
  • Laboratory tests show elevated white blood cell count.
  • Imaging indicates pulmonary infiltrates.
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SOAP Note Guidelines for Diagnosing Acute and fulminating melioidosis (ICD-10 Code A24.1)

Assessment:

  • Diagnosis: Acute and fulminating melioidosis, severe.
  • ICD-10 Code: A24.1.
  • Contributing factors: Recent travel to endemic area, exposure to contaminated sources.
  • Severity: High risk of complications and mortality.

Plan:

  • Initiate broad-spectrum intravenous antibiotics.
  • Provide supportive care including IV fluids and oxygen.
  • Educate patient on the importance of follow-up and monitoring.
  • Schedule follow-up in 1 week to reassess clinical status.

Treatment & Plan Section for ICD-10 Code A24.1 – Acute and fulminating melioidosis

  • Administer appropriate antibiotics based on susceptibility.
  • Implement supportive measures for respiratory and hemodynamic stability.
  • Monitor vital signs and laboratory parameters closely.
  • Educate patient on signs of deterioration and when to seek immediate care.

Using ICD-10 Code A24.1 for Acute and fulminating melioidosis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings.
  • Use A24.1 in acute care settings for appropriate reimbursement.
  • Align treatment plans with clinical guidelines to justify billing.
  • Document any complications or comorbidities that may affect care.

ICD-10 Code A24.1 in Medical Billing and Insurance for Acute and fulminating melioidosis

ICD-10 Code A24.1 is critical for billing in hospital, emergency room, or infectious disease care settings.

Billing Notes:

  • Document all relevant clinical findings to support the diagnosis.
  • Use A24.1 in conjunction with other codes for comprehensive billing.
  • Ensure that the medical necessity for hospitalization is clearly documented.
  • Include details of treatment plans and patient education in the chart.

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically 70 minutes or more.
36415Collection of venous blood by venipuncture.
71045Radiologic examination, chest, single view.
99291Critical care, evaluation and management of the first 30-74 minutes.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A24.1 for Acute and fulminating melioidosis

What are the common symptoms of acute melioidosis?

Common symptoms include high fever, chills, cough, chest pain, and respiratory distress. Patients may also experience fatigue and malaise, which can rapidly progress to severe illness.

How is acute melioidosis diagnosed?

Diagnosis is typically made through clinical evaluation, laboratory tests, and imaging studies. Blood cultures and other specimens may be tested for Burkholderia pseudomallei.

What is the treatment for acute melioidosis?

Treatment involves intravenous antibiotics such as meropenem or ceftazidime, followed by oral antibiotics for several months. Supportive care is also critical for managing symptoms.

Is acute melioidosis contagious?

Acute melioidosis is not transmitted from person to person. It is primarily acquired through direct contact with contaminated soil or water.

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