ICD-10 Code A28.0 | Pasteurellosis Symptoms, Diagnosis, Billing

Pasteurellosis is an infectious disease caused by the bacterium Pasteurella multocida, commonly transmitted through animal bites or scratches, particularly from cats and dogs. It can lead to serious complications if not promptly diagnosed and treated. The ICD-10 Code A28.0 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track cases of this zoonotic infection.

What is ICD-10 Code A28.0 for Pasteurellosis?

ICD-10 Code A28.0 represents Pasteurellosis, an infection primarily caused by Pasteurella multocida. This code is used when documenting cases of infection resulting from animal bites or scratches, particularly in patients presenting with symptoms such as localized swelling, pain, and systemic signs of infection. Accurate use of this code is essential for clinical documentation and billing purposes.

ICD-10 Code A28.0 – Clinical Definition and Explanation of Pasteurellosis

Pasteurellosis is an infectious disease caused by the bacterium Pasteurella multocida, typically acquired through bites or scratches from infected animals. The condition can progress rapidly, leading to severe local and systemic infections, necessitating prompt medical intervention.

Key Clinical Features:

• Localized swelling and erythema at the site of the bite or scratch.
• Possible development of abscesses or cellulitis.
• Systemic symptoms such as fever and malaise.
• History of animal exposure, particularly from cats or dogs.

ICD-10 Code A28.0 for Pasteurellosis – SOAP Notes & Clinical Use

In clinical workflows, ICD-10 Code A28.0 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, ensuring comprehensive documentation of the patient's condition.

What Does ICD-10 Code A28.0 for Pasteurellosis Mean in SOAP Notes?

ICD-10 Code A28.0 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Pasteurellosis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A28.0 – Pasteurellosis

Prompt treatment of Pasteurellosis is essential to prevent complications. Hospitalization may be required in severe cases, and appropriate antibiotic therapy is critical.

Antibiotic Therapy:

• Amoxicillin-clavulanate (Augmentin) for 5-10 days.
• Doxycycline as an alternative for penicillin-allergic patients.
• Ciprofloxacin for severe infections or resistant cases.

Supportive Care:

• Wound care and drainage of abscesses if present.
• Pain management with analgesics.
• Monitoring for systemic symptoms and complications.

Infection Control:

• Educate patients on proper wound care.
• Advise on avoiding contact with potentially infected animals.
• Implement precautions in healthcare settings to prevent transmission.

How to Document Symptoms of Pasteurellosis (ICD-10 A28.0) in SOAP Notes

Subjective:

• Patient reports pain and swelling at the site of a cat bite.
• History of fever and chills over the past two days.
• Noted redness and warmth around the wound.
• Patient has a known allergy to penicillin.

Objective:

• Vital signs: Temperature 101°F, pulse 90 bpm.
• Localized erythema and swelling noted on examination.
• Presence of purulent drainage from the wound.
• No signs of systemic infection beyond localized symptoms.

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SOAP Note Guidelines for Diagnosing Pasteurellosis (ICD-10 Code A28.0)

Assessment:

• Diagnosis: Pasteurellosis, localized infection, moderate severity.
• ICD-10 Code: A28.0.
• Contributing factors: Recent cat bite, history of allergy to penicillin.

Plan:

• Initiate treatment with amoxicillin-clavulanate for 7 days.
• Educate patient on wound care and signs of worsening infection.
• Schedule follow-up in 1 week to reassess the wound.
• Consider referral to infectious disease specialist if no improvement.

Treatment & Plan Section for ICD-10 Code A28.0 – Pasteurellosis

• First-line treatment includes amoxicillin-clavulanate for effective coverage.
• Non-pharmacologic strategies include proper wound care and hygiene.
• Monitoring for signs of systemic infection is essential.
• Follow-up appointments should be scheduled to ensure resolution.

Using ICD-10 Code A28.0 for Pasteurellosis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history in SOAP notes.
• Use A28.0 in appropriate clinical settings, such as urgent care or emergency departments.
• Document treatment plans that align with clinical guidelines to support billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Pasteurellosis

• A28.1 – Other pasteurellosis

ICD-10 Code A28.0 in Medical Billing and Insurance for Pasteurellosis

ICD-10 Code A28.0 is critical in medical billing, particularly in emergency and infectious disease care settings.

Billing Notes:

• Document all relevant patient history and clinical findings to support the claim.
• Use A28.0 in conjunction with appropriate CPT codes for services rendered.
• Ensure that the diagnosis is clearly linked to the treatment provided in the medical record.

Common CPT Pairings: