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ICD-10 Code A37.01 | Whooping cough due to Bordetella pertussis with pneumonia Symptoms, Diagnosis, Billing

Whooping cough, or pertussis, is a highly contagious respiratory disease caused by the bacterium Bordetella pertussis. When complicated by pneumonia, it poses significant clinical risks, particularly in infants and young children. The ICD-10 Code A37.01 facilitates accurate diagnosis, documentation, and billing, ensuring proper treatment and public health reporting to manage outbreaks effectively.

What is ICD-10 Code A37.01 for Whooping cough due to Bordetella pertussis with pneumonia?

ICD-10 Code A37.01 specifically denotes whooping cough due to Bordetella pertussis with pneumonia. This code is utilized when a patient presents with the classic symptoms of whooping cough, such as severe coughing fits, along with pneumonia as a complication. It is essential for accurate clinical documentation and billing, particularly in cases requiring hospitalization or specialized care.

ICD-10 Code A37.01 – Clinical Definition and Explanation of Whooping cough due to Bordetella pertussis with pneumonia

Whooping cough due to Bordetella pertussis with pneumonia is a severe respiratory infection characterized by paroxysmal coughing and the potential for significant respiratory distress. The condition arises from the Bordetella pertussis bacterium and can lead to pneumonia, necessitating prompt medical intervention to prevent complications.

Key Clinical Features:

  • Paroxysmal cough with a 'whooping' sound during inhalation.
  • Coughing fits may lead to vomiting or exhaustion.
  • Pneumonia symptoms such as fever, difficulty breathing, and chest pain.
  • Increased risk of severe disease in infants and unvaccinated individuals.

ICD-10 Code A37.01 for Whooping cough due to Bordetella pertussis with pneumonia – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A37.01 is crucial for documenting the diagnosis of whooping cough with pneumonia. It aids in capturing the patient's symptoms, assessment findings, and treatment plans, ensuring comprehensive care in both acute and chronic settings.

What Does ICD-10 Code A37.01 for Whooping cough due to Bordetella pertussis with pneumonia Mean in SOAP Notes?

ICD-10 Code A37.01 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of whooping cough with pneumonia. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A37.01 – Whooping cough due to Bordetella pertussis with pneumonia

Whooping cough with pneumonia requires urgent medical attention, often necessitating hospitalization for severe cases. Appropriate antibiotic therapy is critical for managing the infection.

Antibiotic Therapy:

  • First-line: Azithromycin or Clarithromycin for 5-7 days.
  • Alternative: Trimethoprim-sulfamethoxazole for 14 days in patients allergic to macrolides.
  • Consideration for hospitalization if severe symptoms or complications arise.

Supportive Care:

  • Hydration and nutritional support.
  • Oxygen therapy for hypoxemia.
  • Cough suppressants may be used cautiously in severe cases.

Infection Control:

  • Implement droplet precautions in healthcare settings.
  • Educate patients on hygiene practices to prevent spread.
  • Vaccination of close contacts to reduce outbreak risk.

How to Document Symptoms of Whooping cough due to Bordetella pertussis with pneumonia (ICD-10 A37.01) in SOAP Notes

Subjective:

  • Patient reports severe coughing fits lasting several weeks.
  • Coughing episodes are associated with vomiting.
  • History of exposure to a confirmed case of whooping cough.
  • Patient experiences fatigue and difficulty breathing.

Objective:

  • Wheezing and stridor noted on auscultation.
  • Respiratory rate: 28 breaths per minute.
  • Oxygen saturation: 92% on room air.
  • Chest X-ray shows infiltrates consistent with pneumonia.
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SOAP Note Guidelines for Diagnosing Whooping cough due to Bordetella pertussis with pneumonia (ICD-10 Code A37.01)

Assessment:

  • Diagnosis: Whooping cough due to Bordetella pertussis with pneumonia, moderate severity.
  • ICD-10 Code: A37.01.
  • Contributing factors: Recent exposure to infected individuals.

Plan:

  • Initiate antibiotic therapy with Azithromycin.
  • Provide education on symptom management and infection control.
  • Monitor respiratory status and oxygen saturation closely.
  • Schedule follow-up in 1 week to reassess symptoms.

Treatment & Plan Section for ICD-10 Code A37.01 – Whooping cough due to Bordetella pertussis with pneumonia

  • First-line pharmacologic treatment includes macrolide antibiotics.
  • Non-pharmacologic strategies involve hydration and rest.
  • Monitoring includes tracking respiratory status and oxygen levels.
  • Follow-up visits should assess recovery and potential complications.

Using ICD-10 Code A37.01 for Whooping cough due to Bordetella pertussis with pneumonia in Billing & SOAP Note Compliance

  • Select accurate subcodes based on clinical severity or complications.
  • Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
  • Ensure treatment plans align with clinical guidelines to support justified billing.
  • Only list CPT codes that are commonly billed with ICD-10 Code A37.01.

ICD-10 Code A37.01 in Medical Billing and Insurance for Whooping cough due to Bordetella pertussis with pneumonia

ICD-10 Code A37.01 is essential for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Ensure documentation includes detailed patient history and symptomatology.
  • Use this code in settings where patients receive acute care for respiratory infections.
  • Highlight key chart elements such as diagnostic tests and treatment plans.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, low complexity.
71020Chest X-ray, two views.
94640Pressurized inhalation treatment.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A37.01 for Whooping cough due to Bordetella pertussis with pneumonia

What are the primary symptoms of whooping cough?

The primary symptoms include severe coughing fits that may end in a 'whoop' sound, vomiting after coughing, and exhaustion. Infants may experience apnea or pauses in breathing.

How is whooping cough treated?

Treatment typically involves antibiotics such as azithromycin or clarithromycin. Supportive care, including hydration and monitoring respiratory status, is also crucial.

Is whooping cough contagious?

Yes, whooping cough is highly contagious and can spread through respiratory droplets when an infected person coughs or sneezes. Vaccination is key to prevention.

When should a patient with whooping cough seek medical attention?

Patients should seek medical attention if they experience difficulty breathing, persistent high fever, or if symptoms worsen, especially in infants and young children.

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