ICD-10 Code A28.2 | Extraintestinal yersiniosis Symptoms, Diagnosis, Billing

Extraintestinal yersiniosis is an infection caused by Yersinia enterocolitica, primarily affecting the gastrointestinal tract but can also lead to extraintestinal manifestations. This condition is clinically significant due to its potential complications, including reactive arthritis and systemic infections. The ICD-10 Code A28.2 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code A28.2 for Extraintestinal yersiniosis?

ICD-10 Code A28.2 represents Extraintestinal yersiniosis, a condition resulting from Yersinia enterocolitica infection that extends beyond the intestines. This code should be used when documenting cases where patients exhibit symptoms related to the extraintestinal effects of the infection, such as fever, abdominal pain, or joint symptoms, ensuring proper billing and clinical management.

ICD-10 Code A28.2 – Clinical Definition and Explanation of Extraintestinal yersiniosis

Extraintestinal yersiniosis is primarily caused by the bacterium Yersinia enterocolitica, which can lead to various systemic complications. The condition may progress from gastrointestinal symptoms to more severe manifestations, necessitating medical intervention. Prompt recognition and treatment are crucial to prevent complications.

Key Clinical Features:

• Fever and abdominal pain, often mimicking appendicitis.
• Diarrhea, which may be bloody in some cases.
• Reactive arthritis, particularly in post-infectious scenarios.
• Possible systemic infections in immunocompromised patients.

ICD-10 Code A28.2 for Extraintestinal yersiniosis – SOAP Notes & Clinical Use

ICD-10 Code A28.2 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of Extraintestinal yersiniosis. This code aids in capturing both acute and chronic manifestations of the disease, ensuring comprehensive patient care and accurate billing.

What Does ICD-10 Code A28.2 for Extraintestinal yersiniosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A28.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Extraintestinal yersiniosis. This linkage is essential for continuity of care, supporting billing processes, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A28.2 – Extraintestinal yersiniosis

Extraintestinal yersiniosis may require hospitalization, especially in severe cases. Treatment typically involves antibiotic therapy and supportive care to manage symptoms and prevent complications.

Antibiotic Therapy:

• First-line: Ciprofloxacin or Trimethoprim-sulfamethoxazole for 7-14 days.
• Alternative: Doxycycline for 7-14 days.
• Consideration of culture sensitivity for tailored therapy.

Supportive Care:

• Hydration and electrolyte management.
• Pain relief with NSAIDs as needed.
• Monitoring for complications such as reactive arthritis.

Infection Control:

• Standard precautions to prevent transmission.
• Isolation of infected patients during outbreaks.
• Education on food safety and hygiene practices.

How to Document Symptoms of Extraintestinal yersiniosis (ICD-10 A28.2) in SOAP Notes

Subjective:

• Patient reports abdominal pain and fever for 3 days.
• History of diarrhea, described as watery and occasionally bloody.
• Complaints of joint pain, particularly in the knees.

Objective:

• Vital signs: Fever of 101°F, tachycardia.
• Abdominal examination reveals tenderness in the right lower quadrant.
• Joint examination shows swelling and tenderness in the knees.

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SOAP Note Guidelines for Diagnosing Extraintestinal yersiniosis (ICD-10 Code A28.2)

Assessment:

• Diagnosis: Extraintestinal yersiniosis, moderate severity.
• ICD-10 Code: A28.2.
• Contributing factors: Recent travel history and exposure to contaminated food.

Plan:

• Initiate antibiotic therapy with Ciprofloxacin.
• Provide hydration and monitor electrolytes.
• Educate patient on symptom management and follow-up in one week.

Treatment & Plan Section for ICD-10 Code A28.2 – Extraintestinal yersiniosis

• First-line pharmacologic treatment includes Ciprofloxacin.
• Non-pharmacologic strategies involve hydration and dietary modifications.
• Monitoring includes regular assessment of vital signs and symptom progression.
• Follow-up appointments to evaluate treatment efficacy and adjust as necessary.

Using ICD-10 Code A28.2 for Extraintestinal yersiniosis in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical findings and documentation.
• Ensure Subjective (S) and Objective (O) sections reflect the patient's condition accurately.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Extraintestinal yersiniosis

• A28.0 – Yersiniosis, enteritis
• A28.1 – Yersiniosis, localized
• A28.3 – Yersiniosis, unspecified
• A09 – Diarrhea and gastroenteritis of unspecified origin

ICD-10 Code A28.2 in Medical Billing and Insurance for Extraintestinal yersiniosis

ICD-10 Code A28.2 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the use of A28.2.
• Use this code in conjunction with other relevant codes for comprehensive billing.
• Ensure that the diagnosis aligns with the services rendered to avoid claim denials.

Common CPT Pairings: