ICD-10 Code A32.81 | Oculoglandular listeriosis Symptoms, Diagnosis, Billing

Oculoglandular listeriosis is an infection caused by the bacterium Listeria monocytogenes, primarily affecting the conjunctiva and associated lymph nodes. It is clinically significant due to its potential to cause severe ocular complications and systemic illness, particularly in immunocompromised individuals. The ICD-10 Code A32.81 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate management and resource allocation.

What is ICD-10 Code A32.81 for Oculoglandular listeriosis?

ICD-10 Code A32.81 represents Oculoglandular listeriosis, a localized infection characterized by conjunctivitis and lymphadenopathy due to Listeria monocytogenes. This code should be used in clinical documentation and billing when a patient presents with ocular symptoms linked to listeriosis, ensuring proper identification of the condition for treatment and epidemiological tracking.

ICD-10 Code A32.81 – Clinical Definition and Explanation of Oculoglandular listeriosis

Oculoglandular listeriosis is caused by the ingestion of contaminated food or direct contact with infected animals, leading to ocular inflammation and lymphatic involvement. Prompt medical attention is crucial to prevent complications such as vision loss.

Key Clinical Features:

• Conjunctival inflammation and discharge
• Preauricular lymphadenopathy
• Possible systemic symptoms like fever and malaise
• History of exposure to contaminated food or animals

ICD-10 Code A32.81 for Oculoglandular listeriosis – SOAP Notes & Clinical Use

ICD-10 Code A32.81 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan for Oculoglandular listeriosis. It is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A32.81 for Oculoglandular listeriosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A32.81 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Oculoglandular listeriosis. This code supports continuity of care, facilitates billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A32.81 – Oculoglandular listeriosis

Oculoglandular listeriosis requires prompt treatment to mitigate complications. Hospitalization may be necessary for severe cases, and appropriate antibiotic therapy is critical.

Antibiotic Therapy:

• First-line: Ampicillin 1-2 g IV every 4-6 hours for 10-14 days
• Alternative: Trimethoprim-sulfamethoxazole for penicillin-allergic patients

Supportive Care:

• Topical antibiotics for secondary infections
• Symptomatic relief with analgesics
• Regular monitoring of visual acuity

Infection Control:

• Strict hygiene practices to prevent spread
• Education on food safety and handling
• Isolation precautions during outbreaks

How to Document Symptoms of Oculoglandular listeriosis (ICD-10 A32.81) in SOAP Notes

Subjective:

• Patient reports redness and discharge from the right eye.
• History of recent consumption of unpasteurized dairy products.
• Complaints of mild fever and fatigue.
• No known allergies reported.

Objective:

• Conjunctival injection noted on examination.
• Preauricular lymphadenopathy observed.
• Visual acuity measured at 20/30 in the affected eye.
• Temperature recorded at 100.4°F.

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SOAP Note Guidelines for Diagnosing Oculoglandular listeriosis (ICD-10 Code A32.81)

Assessment:

• Diagnosis: Oculoglandular listeriosis, moderate severity.
• ICD-10 Code: A32.81.
• Contributing factors: Recent exposure to contaminated food.
• No significant past medical history.

Plan:

• Initiate antibiotic therapy with ampicillin.
• Educate patient on hygiene and food safety.
• Schedule follow-up in one week to monitor symptoms.
• Consider referral to ophthalmology if symptoms worsen.

Treatment & Plan Section for ICD-10 Code A32.81 – Oculoglandular listeriosis

• Administer appropriate antibiotics based on susceptibility.
• Implement patient education on infection prevention.
• Monitor for complications such as vision impairment.
• Schedule regular follow-up appointments to assess recovery.

Using ICD-10 Code A32.81 for Oculoglandular listeriosis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history in SOAP notes.
• Use A32.81 in settings such as outpatient clinics and emergency departments.
• Include relevant clinical findings to support the diagnosis.
• Align treatment plans with clinical guidelines for justified billing.

Related ICD-10 Codes Often Used with Oculoglandular listeriosis

• A32.0 – Listeriosis due to Listeria monocytogenes
• A32.9 – Listeriosis, unspecified
• H10.1 – Acute conjunctivitis
• H00.01 – Chalazion of right upper eyelid

ICD-10 Code A32.81 in Medical Billing and Insurance for Oculoglandular listeriosis

ICD-10 Code A32.81 is essential for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use A32.81 in conjunction with other codes for comprehensive billing.
• Ensure that the patient's history includes exposure to risk factors.
• Maintain clear records of treatment plans and follow-up care.

Common CPT Pairings: