ICD-10 Code A32.82 | Listerial endocarditis Symptoms, Diagnosis, Billing

Listerial endocarditis is a rare but serious infection of the heart valves caused by the bacterium Listeria monocytogenes. This condition is clinically significant due to its association with high morbidity and mortality rates, particularly in immunocompromised individuals. Accurate coding with ICD-10 Code A32.82 facilitates proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this infectious disease.

What is ICD-10 Code A32.82 for Listerial endocarditis?

ICD-10 Code A32.82 specifically denotes Listerial endocarditis, an infection of the heart valves caused by Listeria monocytogenes. This code should be used in clinical documentation and billing when a patient presents with endocarditis linked to Listeria infection, ensuring accurate representation of the underlying disease and facilitating appropriate treatment and management.

ICD-10 Code A32.82 – Clinical Definition and Explanation of Listerial endocarditis

Listerial endocarditis is primarily caused by the ingestion of contaminated food or direct exposure to Listeria monocytogenes, leading to infection of the heart valves. The condition can progress rapidly, necessitating immediate medical attention to prevent severe complications such as heart failure or systemic infection.

Key Clinical Features:

• Fever and chills
• New or changing heart murmur
• Fatigue and malaise
• Signs of embolic phenomena (e.g., petechiae, splinter hemorrhages)

ICD-10 Code A32.82 for Listerial endocarditis – SOAP Notes & Clinical Use

ICD-10 Code A32.82 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with Listerial endocarditis. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of symptoms and treatment plans.

What Does ICD-10 Code A32.82 for Listerial endocarditis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A32.82 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Listerial endocarditis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A32.82 – Listerial endocarditis

Listerial endocarditis requires prompt hospitalization and often necessitates antibiotic therapy to manage the infection effectively.

Antibiotic Therapy:

• Ampicillin (first-line) for 4-6 weeks
• Gentamicin (synergistic therapy) for 3-5 days
• Trimethoprim-sulfamethoxazole (alternative) for 4-6 weeks

Supportive Care:

• Monitoring for heart failure
• Fluid management
• Symptomatic relief for fever and pain

Infection Control:

• Strict hand hygiene practices
• Isolation precautions if necessary
• Education on food safety to prevent outbreaks

How to Document Symptoms of Listerial endocarditis (ICD-10 A32.82) in SOAP Notes

Subjective:

• Patient reports fever and chills
• Complains of fatigue and malaise
• History of recent foodborne illness
• New heart murmur noted during examination

Objective:

• Temperature: 101°F
• Heart rate: 110 bpm
• New murmur detected on auscultation
• Petechiae observed on extremities

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SOAP Note Guidelines for Diagnosing Listerial endocarditis (ICD-10 Code A32.82)

Assessment:

• Diagnosis: Listerial endocarditis, moderate severity
• ICD-10 Code: A32.82
• Contributing factors: Immunocompromised state, recent food exposure

Plan:

• Initiate ampicillin therapy for 4-6 weeks
• Consult infectious disease specialist
• Educate patient on signs of worsening condition
• Schedule follow-up echocardiogram in 2 weeks

Treatment & Plan Section for ICD-10 Code A32.82 – Listerial endocarditis

• Administer appropriate antibiotics based on sensitivity
• Monitor vital signs and cardiac function
• Provide patient education on infection prevention
• Arrange for regular follow-up appointments to assess treatment response

Using ICD-10 Code A32.82 for Listerial endocarditis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes
• Use A32.82 in conjunction with relevant CPT codes for billing
• Align treatment plans with clinical guidelines to support justified billing
• Document any complications or comorbidities that may affect treatment

Related ICD-10 Codes Often Used with Listerial endocarditis

• A32.81 – Listerial meningitis
• A32.89 – Other listerial infections
• I33.0 – Acute and subacute infective endocarditis
• B37.7 – Candidal endocarditis

ICD-10 Code A32.82 in Medical Billing and Insurance for Listerial endocarditis

ICD-10 Code A32.82 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 A32.82 in the primary diagnosis field for inpatient claims
• Ensure that treatment plans are clearly outlined in the medical record

Common CPT Pairings: