ICD-10 Code A42.2 | Cervicofacial actinomycosis Symptoms, Diagnosis, Billing

Cervicofacial actinomycosis is a chronic bacterial infection caused by Actinomyces species, primarily affecting the face and neck. It is characterized by the formation of abscesses and tissue destruction. Accurate coding with ICD-10 Code A42.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate treatment and resource allocation.

What is ICD-10 Code A42.2 for Cervicofacial actinomycosis?

ICD-10 Code A42.2 specifically denotes cervicofacial actinomycosis, a localized infection caused by Actinomyces bacteria. This code should be used when documenting cases of cervicofacial actinomycosis in clinical settings, ensuring accurate representation of the condition for billing and treatment purposes.

ICD-10 Code A42.2 – Clinical Definition and Explanation of Cervicofacial actinomycosis

Cervicofacial actinomycosis is primarily caused by the anaerobic bacterium Actinomyces israelii, often following trauma or dental procedures. The condition can progress to form abscesses and chronic granulomatous lesions, necessitating medical intervention.

Key Clinical Features:

• Presence of painful, swollen lesions in the jaw or neck region.
• Formation of abscesses that may drain pus.
• Fistula formation leading to chronic discharge.
• Potential systemic symptoms such as fever and malaise.

ICD-10 Code A42.2 for Cervicofacial actinomycosis – SOAP Notes & Clinical Use

ICD-10 Code A42.2 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of cervicofacial actinomycosis. It plays a crucial role in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A42.2 for Cervicofacial actinomycosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A42.2 connects subjective patient reports and objective clinical findings to a formal diagnosis of cervicofacial actinomycosis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A42.2 – Cervicofacial actinomycosis

Cervicofacial actinomycosis requires prompt medical attention, often necessitating hospitalization for severe cases. Treatment typically involves antibiotic therapy and supportive care.

Antibiotic Therapy:

• First-line: Penicillin G (4-6 weeks).
• Alternative: Tetracycline or Clindamycin (if allergic to penicillin).
• Duration: 4-6 weeks, depending on severity.

Supportive Care:

• Drainage of abscesses to relieve pressure.
• Pain management with analgesics.
• Nutritional support if oral intake is compromised.

Infection Control:

• Standard precautions to prevent transmission.
• Education on hygiene practices for affected individuals.
• Monitoring for potential outbreaks in communal settings.

How to Document Symptoms of Cervicofacial actinomycosis (ICD-10 A42.2) in SOAP Notes

Subjective:

• Patient reports swelling and pain in the jaw area.
• History of recent dental procedures or trauma.
• Complaints of fever and malaise.
• Notable discharge from a draining sinus tract.

Objective:

• Swelling and erythema noted in the cervicofacial region.
• Presence of purulent drainage from the affected area.
• Fever recorded at 101°F.
• Tenderness upon palpation of the jaw.

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SOAP Note Guidelines for Diagnosing Cervicofacial actinomycosis (ICD-10 Code A42.2)

Assessment:

• Diagnosis: Cervicofacial actinomycosis, moderate severity.
• ICD-10 Code: A42.2.
• Contributing factors: Recent dental surgery.
• Potential complications: Abscess formation.

Plan:

• Initiate antibiotic therapy with Penicillin G.
• Schedule drainage of abscess if indicated.
• Educate patient on signs of worsening infection.
• Follow-up in one week to reassess.

Treatment & Plan Section for ICD-10 Code A42.2 – Cervicofacial actinomycosis

• Administer appropriate antibiotics based on culture results.
• Encourage hydration and nutritional support.
• Monitor for signs of systemic infection.
• Schedule regular follow-ups to assess treatment efficacy.

Using ICD-10 Code A42.2 for Cervicofacial actinomycosis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and treatment plans.
• Use A42.2 in settings such as outpatient, inpatient, and emergency care.
• Include relevant clinical findings in the Subjective and Objective sections.
• Align treatment plans with clinical guidelines to support billing.

Related ICD-10 Codes Often Used with Cervicofacial actinomycosis

• A42.0 – Actinomycosis, unspecified
• A42.1 – Thoracic actinomycosis
• A42.3 – Abdominal actinomycosis
• K12.2 – Necrotizing ulcerative gingivitis

ICD-10 Code A42.2 in Medical Billing and Insurance for Cervicofacial actinomycosis

ICD-10 Code A42.2 is critical for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use A42.2 in conjunction with other codes for comprehensive billing.
• Ensure that treatment plans are clearly outlined in the medical record.
• Review coding guidelines to ensure compliance with payer requirements.

Common CPT Pairings: