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ICD-10 Code A44.0 | Systemic bartonellosis Symptoms, Diagnosis, Billing

Systemic bartonellosis is an infectious disease caused by the bacterium Bartonella, primarily transmitted through insect bites. It can lead to severe systemic symptoms, including fever, fatigue, and lymphadenopathy. Accurate coding with ICD-10 Code A44.0 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this condition.

What is ICD-10 Code A44.0 for Systemic bartonellosis?

ICD-10 Code A44.0 represents Systemic bartonellosis, a condition characterized by systemic infection caused by Bartonella species. This code should be used when documenting cases of systemic infection, particularly when patients present with symptoms such as fever and lymphadenopathy. Proper use of this code in clinical documentation and billing is crucial for accurate patient care and reimbursement.

ICD-10 Code A44.0 – Clinical Definition and Explanation of Systemic bartonellosis

Systemic bartonellosis is caused by the Bartonella species, often transmitted through insect vectors. The condition can progress rapidly, leading to significant morbidity if not treated promptly. Medical attention is required to manage symptoms and prevent complications.

Key Clinical Features:

  • Fever and chills
  • Lymphadenopathy
  • Fatigue and malaise
  • Possible splenomegaly
  • History of insect exposure

ICD-10 Code A44.0 for Systemic bartonellosis – SOAP Notes & Clinical Use

ICD-10 Code A44.0 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, facilitating comprehensive patient management and accurate billing.

What Does ICD-10 Code A44.0 for Systemic bartonellosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A44.0 connects subjective patient-reported symptoms with objective clinical findings, leading to a formal diagnosis. This code supports continuity of care, ensures accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A44.0 – Systemic bartonellosis

Systemic bartonellosis requires prompt medical intervention, often necessitating hospitalization for severe cases. Antibiotic therapy is critical for effective treatment.

Antibiotic Therapy:

  • First-line: Doxycycline 100 mg orally twice daily for 21 days
  • Alternative: Azithromycin 500 mg orally on day 1, then 250 mg daily for 4 days
  • Consideration for severe cases: Rifampin or Gentamicin may be added

Supportive Care:

  • Hydration and electrolyte management
  • Antipyretics for fever control
  • Monitoring for complications such as splenic rupture

Infection Control:

  • Standard precautions to prevent transmission
  • Education on vector control measures
  • Isolation if necessary during outbreaks

How to Document Symptoms of Systemic bartonellosis (ICD-10 A44.0) in SOAP Notes

Subjective:

  • Patient reports fever and chills for the past week.
  • Complains of fatigue and swollen lymph nodes.
  • History of recent insect bites during outdoor activities.

Objective:

  • Vital signs: Temperature 101°F, heart rate 98 bpm.
  • Physical exam reveals lymphadenopathy in cervical region.
  • Laboratory tests show elevated white blood cell count.
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SOAP Note Guidelines for Diagnosing Systemic bartonellosis (ICD-10 Code A44.0)

Assessment:

  • Diagnosis: Systemic bartonellosis, moderate severity.
  • ICD-10 Code: A44.0.
  • Contributing factors: Recent outdoor exposure to insects.

Plan:

  • Initiate doxycycline 100 mg orally twice daily for 21 days.
  • Educate patient on hydration and symptom management.
  • Schedule follow-up in one week to monitor progress.

Treatment & Plan Section for ICD-10 Code A44.0 – Systemic bartonellosis

  • First-line antibiotic therapy with doxycycline.
  • Supportive care including hydration and antipyretics.
  • Monitoring for potential complications.
  • Patient education on vector avoidance.

Using ICD-10 Code A44.0 for Systemic bartonellosis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings.
  • Use A44.0 in appropriate clinical settings for billing.
  • Align treatment plans with clinical guidelines for reimbursement.
  • Document all relevant patient interactions and treatment decisions.

ICD-10 Code A44.0 in Medical Billing and Insurance for Systemic bartonellosis

ICD-10 Code A44.0 is critical for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all relevant clinical findings to support the claim.
  • Use A44.0 in conjunction with other codes as necessary.
  • Ensure that the diagnosis aligns with the treatment provided.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, low complexity.
87070Culture, bacterial, any source.
36415Collection of venous blood by venipuncture.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A44.0 for Systemic bartonellosis

What are the common symptoms of systemic bartonellosis?

Common symptoms include fever, chills, fatigue, and swollen lymph nodes. Patients may also experience splenomegaly and a history of insect exposure.

How is systemic bartonellosis treated?

Treatment typically involves antibiotics such as doxycycline. Supportive care for symptoms and monitoring for complications are also essential.

Is systemic bartonellosis contagious?

Systemic bartonellosis is not directly contagious between humans; it is primarily transmitted through insect bites.

When should I use ICD-10 Code A44.0?

Use ICD-10 Code A44.0 when documenting cases of systemic bartonellosis with relevant symptoms and clinical findings.

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