Diphtheritic tubulo-interstitial nephropathy is a renal complication resulting from diphtheria infection, characterized by inflammation and damage to the renal tubules and interstitium. This condition is clinically significant as it can lead to acute kidney injury and requires prompt diagnosis and management. The ICD-10 Code A36.84 facilitates accurate documentation, billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this serious complication.
What is ICD-10 Code A36.84 for Diphtheritic tubulo-interstitial nephropathy?
ICD-10 Code A36.84 represents Diphtheritic tubulo-interstitial nephropathy, a renal condition associated with diphtheria infection. This code should be used when documenting cases of kidney injury resulting from the systemic effects of diphtheria, particularly in patients presenting with renal symptoms following infection. Accurate coding is essential for appropriate clinical management and reimbursement.
ICD-10 Code A36.84 – Clinical Definition and Explanation of Diphtheritic tubulo-interstitial nephropathy
Diphtheritic tubulo-interstitial nephropathy is caused by the systemic effects of diphtheria, leading to inflammation and damage in the renal tubules and interstitial tissue. This condition can progress to acute kidney injury, necessitating immediate medical intervention. Early recognition and treatment are crucial to prevent long-term renal complications.
Key Clinical Features:
- Acute onset of renal dysfunction following diphtheria infection.
- Symptoms may include oliguria, edema, and electrolyte imbalances.
- Laboratory findings often show elevated serum creatinine and proteinuria.
- Potential for rapid progression to acute kidney injury if untreated.
ICD-10 Code A36.84 for Diphtheritic tubulo-interstitial nephropathy – SOAP Notes & Clinical Use
ICD-10 Code A36.84 is utilized in SOAP notes to document the clinical presentation, assessment, and management of patients with diphtheritic tubulo-interstitial nephropathy. This code aids in capturing the severity of the condition and informs treatment strategies in both acute and chronic care settings.
What Does ICD-10 Code A36.84 for Diphtheritic tubulo-interstitial nephropathy Mean in SOAP Notes?
In SOAP notes, ICD-10 Code A36.84 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of diphtheritic tubulo-interstitial nephropathy. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code A36.84 – Diphtheritic tubulo-interstitial nephropathy
Diphtheritic tubulo-interstitial nephropathy requires urgent medical attention, often necessitating hospitalization for effective management.
Antibiotic Therapy:
- Penicillin G: 10-14 days of intravenous therapy.
- Erythromycin: Alternative for penicillin-allergic patients, 14 days.
- Clindamycin: Considered for severe cases, 10-14 days.
Supportive Care:
- Fluid management to prevent dehydration and electrolyte imbalances.
- Monitoring renal function and adjusting medications accordingly.
- Symptomatic treatment for pain and fever.
Infection Control:
- Implement standard precautions to prevent transmission.
- Isolate patients during the acute phase of infection.
- Educate healthcare staff on diphtheria management protocols.
How to Document Symptoms of Diphtheritic tubulo-interstitial nephropathy (ICD-10 A36.84) in SOAP Notes
Subjective:
- Patient reports decreased urine output over the past 48 hours.
- Complaints of swelling in the legs and fatigue.
- History of recent diphtheria infection confirmed by laboratory tests.
Objective:
- Vital signs: BP 110/70 mmHg, HR 92 bpm, Temp 100.4°F.
- Physical exam reveals bilateral lower extremity edema.
- Laboratory results: Serum creatinine 2.5 mg/dL, proteinuria present.
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SOAP Note Guidelines for Diagnosing Diphtheritic tubulo-interstitial nephropathy (ICD-10 Code A36.84)
Assessment:
- Diagnosis: Diphtheritic tubulo-interstitial nephropathy, acute severity.
- ICD-10 Code: A36.84.
- Contributing factors: Recent diphtheria infection and dehydration.
Plan:
- Initiate intravenous antibiotics (Penicillin G) for 10-14 days.
- Monitor renal function and electrolytes daily.
- Educate patient on signs of worsening renal function and when to seek care.
- Schedule follow-up in one week to reassess renal status.
Treatment & Plan Section for ICD-10 Code A36.84 – Diphtheritic tubulo-interstitial nephropathy
- First-line pharmacologic treatment includes intravenous antibiotics.
- Non-pharmacologic strategies involve hydration and electrolyte management.
- Regular monitoring of renal function and electrolytes is essential.
- Follow-up appointments should be scheduled to assess recovery and renal function.
Using ICD-10 Code A36.84 for Diphtheritic tubulo-interstitial nephropathy 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.
- Treatment plans must align with clinical guidelines to support justified billing.
- Include only relevant CPT codes that correspond with the services provided.
Related ICD-10 Codes Often Used with Diphtheritic tubulo-interstitial nephropathy
- A36.0 – Diphtheria, acute respiratory
- N17.9 – Acute kidney failure, unspecified
- A36.1 – Diphtheria, cutaneous
- N28.9 – Disorder of kidney and ureter, unspecified
ICD-10 Code A36.84 in Medical Billing and Insurance for Diphtheritic tubulo-interstitial nephropathy
ICD-10 Code A36.84 is critical in medical billing, particularly in hospital and emergency settings, where accurate coding impacts reimbursement and care quality.
Billing Notes:
- Document all relevant clinical findings to support the use of A36.84.
- Ensure that the code is used in conjunction with appropriate CPT codes for services rendered.
- Maintain clear and concise notes in the patient's chart to facilitate claim processing.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99223 | Initial hospital care, typically 70 minutes or more. |
| 36415 | Collection of venous blood by venipuncture. |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code A36.84 for Diphtheritic tubulo-interstitial nephropathy
What are the common symptoms of diphtheritic tubulo-interstitial nephropathy?
Common symptoms include decreased urine output, swelling in the legs, fatigue, and signs of acute kidney injury such as elevated serum creatinine levels.
How is diphtheritic tubulo-interstitial nephropathy treated?
Treatment typically involves intravenous antibiotics, fluid management, and monitoring of renal function to prevent complications.
When should ICD-10 Code A36.84 be used?
This code should be used when documenting cases of renal injury associated with diphtheria infection, particularly in patients presenting with renal symptoms.
What is the importance of accurate coding for A36.84?
Accurate coding is essential for proper reimbursement, effective patient management, and public health reporting related to diphtheria complications.
