ICD-10 Code A28.1 | Cat-scratch disease Symptoms, Diagnosis, Billing

Cat-scratch disease is an infectious disease caused by Bartonella henselae, typically transmitted through scratches or bites from infected cats. Clinically significant due to its potential to cause severe complications, accurate coding with ICD-10 Code A28.1 facilitates proper diagnosis, documentation, medical billing, and public health reporting, ensuring effective management of this zoonotic infection.

What is ICD-10 Code A28.1 for Cat-scratch disease?

ICD-10 Code A28.1 represents Cat-scratch disease, an infection resulting from exposure to Bartonella henselae. This code should be used in clinical documentation and billing when a patient presents with symptoms such as lymphadenopathy, fever, and fatigue following a cat scratch or bite, ensuring accurate representation of the patient's condition.

ICD-10 Code A28.1 – Clinical Definition and Explanation of Cat-scratch disease

Cat-scratch disease is primarily caused by the bacterium Bartonella henselae, often transmitted through scratches or bites from infected cats. The condition can lead to significant health issues, including prolonged fever and lymphadenopathy, necessitating medical evaluation and intervention.

Key Clinical Features:

• Lymphadenopathy near the site of the scratch or bite
• Fever and malaise
• Fatigue and headache
• Possible complications such as encephalitis or endocarditis

ICD-10 Code A28.1 for Cat-scratch disease – SOAP Notes & Clinical Use

ICD-10 Code A28.1 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to Cat-scratch disease. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A28.1 for Cat-scratch disease Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A28.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Cat-scratch disease. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A28.1 – Cat-scratch disease

Cat-scratch disease may require hospitalization in severe cases, particularly if complications arise. Antibiotic therapy is often indicated to manage the infection effectively.

Antibiotic Therapy:

• Azithromycin (first-line, 5 days)
• Rifampin (alternative, 5 days)
• Doxycycline (alternative, 7 days)

Supportive Care:

• Pain management with analgesics
• Hydration and rest
• Monitoring for complications

Infection Control:

• Educate on proper handling of cats
• Avoid scratches and bites from unknown cats
• Implement hygiene measures during outbreaks

How to Document Symptoms of Cat-scratch disease (ICD-10 A28.1) in SOAP Notes

Subjective:

• Patient reports a recent cat scratch
• Experiencing fever and fatigue
• Noticed swollen lymph nodes in the armpit
• History of exposure to cats

Objective:

• Fever of 101°F
• Swollen lymph nodes on physical exam
• No rash or other skin lesions
• Normal vital signs otherwise

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SOAP Note Guidelines for Diagnosing Cat-scratch disease (ICD-10 Code A28.1)

Assessment:

• Diagnosis: Cat-scratch disease, mild severity
• ICD-10 Code: A28.1
• Contributing factors: Recent cat exposure
• No known allergies noted

Plan:

• Initiate azithromycin therapy for 5 days
• Educate patient on symptom management
• Schedule follow-up in one week
• Monitor for any signs of complications

Treatment & Plan Section for ICD-10 Code A28.1 – Cat-scratch disease

• First-line antibiotic therapy with azithromycin
• Supportive care including hydration and pain relief
• Patient education on disease transmission and prevention
• Follow-up appointment to monitor recovery and complications

Using ICD-10 Code A28.1 for Cat-scratch disease in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical presentation
• Document symptoms clearly in Subjective (S) and Objective (O) sections
• Ensure treatment plans align with clinical guidelines for justified billing
• Use CPT codes relevant to the services provided during the visit

Related ICD-10 Codes Often Used with Cat-scratch disease

• A28.0 – Other zoonotic bacterial diseases
• A28.9 – Zoonotic bacterial disease, unspecified
• B95.8 – Other specified bacterial agents as the cause of diseases classified elsewhere

ICD-10 Code A28.1 in Medical Billing and Insurance for Cat-scratch disease

ICD-10 Code A28.1 is crucial for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and symptoms
• Use the code in conjunction with appropriate CPT codes
• Ensure clarity in documentation to support claims

Common CPT Pairings: