ICD-10 Code A36.85 | Diphtheritic cystitis Symptoms, Diagnosis, Billing

Diphtheritic cystitis is an inflammatory condition of the bladder caused by the diphtheria bacillus, often associated with systemic diphtheria infection. It is clinically significant due to its potential complications, including urinary obstruction and systemic spread of infection. Accurate coding with ICD-10 Code A36.85 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage this serious condition effectively.

What is ICD-10 Code A36.85 for Diphtheritic cystitis?

ICD-10 Code A36.85 specifically denotes Diphtheritic cystitis, an infection of the bladder caused by the diphtheria bacterium. This code should be used when documenting cases of cystitis that arise as a complication of diphtheria, particularly in patients presenting with urinary symptoms following a diphtheria infection. Proper use of this code in clinical documentation and billing is crucial for accurate patient care and reimbursement.

ICD-10 Code A36.85 – Clinical Definition and Explanation of Diphtheritic cystitis

Diphtheritic cystitis is primarily caused by the diphtheria toxin affecting the bladder, leading to inflammation and potential necrosis of the bladder wall. This condition requires prompt medical attention to prevent severe complications, including urinary retention and systemic infection. Early diagnosis and treatment are critical.

Key Clinical Features:

• Presence of dysuria and urinary frequency.
• Possible hematuria and suprapubic pain.
• History of recent diphtheria infection.
• Signs of systemic infection, such as fever.

ICD-10 Code A36.85 for Diphtheritic cystitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A36.85 is utilized to document the diagnosis of Diphtheritic cystitis, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A36.85 for Diphtheritic cystitis Mean in SOAP Notes?

ICD-10 Code A36.85 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Diphtheritic cystitis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A36.85 – Diphtheritic cystitis

Diphtheritic cystitis often necessitates hospitalization due to the risk of severe complications. Treatment typically involves antibiotic therapy to combat the underlying infection.

Antibiotic Therapy:

• First-line: Penicillin or Erythromycin for 10-14 days.
• Alternative: Clindamycin if allergic to penicillin.
• Consideration of adjunctive therapy based on clinical response.

Supportive Care:

• Hydration to maintain urine output.
• Pain management with analgesics.
• Monitoring for signs of urinary obstruction.

Infection Control:

• Implement standard precautions to prevent transmission.
• Isolation of infected patients during outbreaks.
• Education on hygiene practices for affected individuals.

How to Document Symptoms of Diphtheritic cystitis (ICD-10 A36.85) in SOAP Notes

Subjective:

• Patient reports dysuria and increased urinary frequency.
• History of recent diphtheria infection.
• Complaints of suprapubic pain.
• Reports of fever and malaise.

Objective:

• Vital signs: Elevated temperature (fever).
• Physical exam: Suprapubic tenderness on palpation.
• Urinalysis: Presence of blood and leukocytes.
• Possible imaging findings indicating bladder wall thickening.

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SOAP Note Guidelines for Diagnosing Diphtheritic cystitis (ICD-10 Code A36.85)

Assessment:

• Diagnosis: Diphtheritic cystitis, moderate severity.
• ICD-10 Code: A36.85.
• Contributing factors: Recent diphtheria infection.
• Consideration of potential urinary obstruction.

Plan:

• Initiate antibiotic therapy as per guidelines.
• Educate patient on hydration and symptom management.
• Monitor urinary output and signs of obstruction.
• Schedule follow-up in 1 week to reassess.

Treatment & Plan Section for ICD-10 Code A36.85 – Diphtheritic cystitis

• First-line antibiotics: Penicillin or Erythromycin.
• Hydration and pain management strategies.
• Monitoring for complications such as urinary retention.
• Patient education on hygiene and symptom awareness.

Using ICD-10 Code A36.85 for Diphtheritic cystitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history.
• Use A36.85 in conjunction with relevant clinical findings.
• Align treatment plans with clinical guidelines for billing.
• Document any complications or additional diagnoses clearly.

Related ICD-10 Codes Often Used with Diphtheritic cystitis

• A36.0 – Diphtheria, unspecified
• A36.1 – Diphtheritic laryngitis
• A36.2 – Diphtheritic pharyngitis
• A36.3 – Diphtheritic conjunctivitis

ICD-10 Code A36.85 in Medical Billing and Insurance for Diphtheritic cystitis

ICD-10 Code A36.85 is critical in billing for hospital, ER, or infectious disease care related to Diphtheritic cystitis.

Billing Notes:

• Document all relevant symptoms and history to support the claim.
• Use A36.85 in appropriate clinical settings for accurate billing.
• Ensure all chart elements align with the diagnosis for compliance.

Common CPT Pairings: