ICD-10 Code A48.4 | Brazilian purpuric fever Symptoms, Diagnosis, Billing

Brazilian purpuric fever is a severe infectious disease caused by the bacterium Haemophilus influenzae type b, primarily affecting children and leading to high mortality rates. It is characterized by purpura, fever, and septicemia. Accurate coding with ICD-10 Code A48.4 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage this critical condition effectively.

What is ICD-10 Code A48.4 for Brazilian purpuric fever?

ICD-10 Code A48.4 represents Brazilian purpuric fever, an acute illness associated with severe systemic infection and purpura. This code should be used in clinical documentation when diagnosing patients exhibiting symptoms consistent with this condition, facilitating appropriate billing and ensuring accurate medical records for epidemiological tracking.

ICD-10 Code A48.4 – Clinical Definition and Explanation of Brazilian purpuric fever

Brazilian purpuric fever is caused by the bacterium Haemophilus influenzae type b, leading to rapid progression of symptoms and requiring immediate medical attention. The condition can result in severe complications, including septic shock and multi-organ failure.

Key Clinical Features:

• Acute onset of fever and chills
• Development of purpura and petechiae
• Signs of septicemia, including hypotension
• Rapid deterioration of clinical status
• Predominantly affects children and young adults

ICD-10 Code A48.4 for Brazilian purpuric fever – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A48.4 is utilized to document the diagnosis of Brazilian purpuric fever, 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 A48.4 for Brazilian purpuric fever Mean in SOAP Notes?

ICD-10 Code A48.4 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Brazilian purpuric fever. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A48.4 – Brazilian purpuric fever

Brazilian purpuric fever necessitates urgent medical intervention, often requiring hospitalization for effective management.

Antibiotic Therapy:

• Ceftriaxone: 2 g IV every 12 hours for 7-14 days
• Ampicillin: 2 g IV every 4-6 hours for 7-14 days
• Alternative: Meropenem if resistant strains are suspected

Supportive Care:

• Fluid resuscitation to manage hypotension
• Monitoring and managing coagulopathy
• Pain management and antipyretics as needed

Infection Control:

• Implement standard precautions to prevent transmission
• Isolation of affected patients during outbreaks
• Vaccination of close contacts as preventive measure

How to Document Symptoms of Brazilian purpuric fever (ICD-10 A48.4) in SOAP Notes

Subjective:

• Patient reports sudden onset of high fever and chills.
• Complaints of widespread bruising and skin discoloration.
• History of recent travel to endemic areas.
• Reports of fatigue and malaise.

Objective:

• Vital signs: Fever 39.5°C, hypotension noted.
• Physical examination reveals purpura on extremities.
• Laboratory findings: Thrombocytopenia and elevated inflammatory markers.
• Signs of septic shock with altered mental status.

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SOAP Note Guidelines for Diagnosing Brazilian purpuric fever (ICD-10 Code A48.4)

Assessment:

• Diagnosis: Brazilian purpuric fever (ICD-10 A48.4), severe.
• No applicable subcode; primary diagnosis confirmed.
• Contributing factors: Recent travel to endemic region.

Plan:

• Initiate IV antibiotic therapy as per guidelines.
• Provide fluid resuscitation and monitor vital signs closely.
• Educate patient and family on the nature of the illness.
• Schedule follow-up within 48 hours to reassess clinical status.

Treatment & Plan Section for ICD-10 Code A48.4 – Brazilian purpuric fever

• Administer broad-spectrum antibiotics promptly.
• Implement supportive care measures for hydration and symptom relief.
• Monitor laboratory parameters for coagulopathy and organ function.
• Arrange for infectious disease consultation if necessary.

Using ICD-10 Code A48.4 for Brazilian purpuric fever in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use A48.4 in appropriate settings, including emergency and inpatient care.
• Align treatment plans with clinical guidelines to support billing.
• Include relevant CPT codes for services rendered alongside A48.4.

Related ICD-10 Codes Often Used with Brazilian purpuric fever

• A00.0 – Cholera due to Vibrio cholerae
• A41.9 – Sepsis, unspecified organism
• A49.9 – Bacterial infection, unspecified

ICD-10 Code A48.4 in Medical Billing and Insurance for Brazilian purpuric fever

ICD-10 Code A48.4 is critical in billing for hospital admissions, emergency room visits, and infectious disease consultations.

Billing Notes:

• Document all clinical findings and treatment plans clearly.
• Use A48.4 in settings where acute care is provided.
• Ensure all relevant symptoms are captured in the patient's record.
• Maintain compliance with coding guidelines to support claims.

Common CPT Pairings: