ICD-10 Code A51.42 | Secondary syphilitic female pelvic disease Symptoms, Diagnosis, Billing

Secondary syphilitic female pelvic disease is a manifestation of secondary syphilis characterized by pelvic inflammatory disease due to Treponema pallidum infection. This condition is clinically significant as it can lead to severe reproductive health complications if left untreated. The ICD-10 Code A51.42 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this infectious disease.

What is ICD-10 Code A51.42 for Secondary syphilitic female pelvic disease?

ICD-10 Code A51.42 represents Secondary syphilitic female pelvic disease, which occurs as a result of secondary syphilis. This condition is associated with pelvic inflammatory disease and requires careful documentation in clinical settings. The code should be used when diagnosing patients with pelvic symptoms linked to secondary syphilis, ensuring proper billing and treatment protocols are followed.

ICD-10 Code A51.42 – Clinical Definition and Explanation of Secondary syphilitic female pelvic disease

Secondary syphilitic female pelvic disease is caused by the systemic spread of Treponema pallidum, leading to inflammation and infection in the pelvic region. This condition can progress to severe complications, including infertility and chronic pelvic pain, necessitating prompt medical attention.

Key Clinical Features:

• Pelvic pain and discomfort
• Fever and systemic symptoms
• Abnormal vaginal discharge
• History of syphilis or high-risk sexual behavior

ICD-10 Code A51.42 for Secondary syphilitic female pelvic disease – SOAP Notes & Clinical Use

ICD-10 Code A51.42 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to secondary syphilitic female pelvic disease. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A51.42 for Secondary syphilitic female pelvic disease Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A51.42 connects subjective patient-reported symptoms with objective clinical findings, leading to a formal diagnosis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A51.42 – Secondary syphilitic female pelvic disease

Secondary syphilitic female pelvic disease requires urgent medical intervention, often necessitating hospitalization for severe cases. Appropriate antibiotic therapy is critical for effective treatment.

Antibiotic Therapy:

• Benzathine penicillin G: 2.4 million units IM once
• Doxycycline: 100 mg orally twice daily for 14 days (alternative)
• Tetracycline: 500 mg orally four times daily for 14 days (alternative)

Supportive Care:

• Pain management with NSAIDs
• Hydration and nutritional support
• Monitoring for complications such as abscess formation

Infection Control:

• Patient education on safe sexual practices
• Notification of sexual partners for testing and treatment
• Use of barrier methods to prevent transmission

How to Document Symptoms of Secondary syphilitic female pelvic disease (ICD-10 A51.42) in SOAP Notes

Subjective:

• Patient reports pelvic pain and discomfort
• History of abnormal vaginal discharge
• Recent fever and malaise
• Known exposure to syphilis

Objective:

• Pelvic examination reveals tenderness
• Fever noted at 101°F
• Abnormal discharge observed
• Laboratory tests show positive syphilis serology

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SOAP Note Guidelines for Diagnosing Secondary syphilitic female pelvic disease (ICD-10 Code A51.42)

Assessment:

• Diagnosis: Secondary syphilitic female pelvic disease, moderate severity
• ICD-10 Code: A51.42
• Contributing factors: Recent sexual exposure, history of untreated syphilis

Plan:

• Initiate benzathine penicillin G treatment
• Provide education on safe sexual practices
• Schedule follow-up in one week to monitor response to treatment
• Consider referral to infectious disease specialist if symptoms persist

Treatment & Plan Section for ICD-10 Code A51.42 – Secondary syphilitic female pelvic disease

• First-line treatment with benzathine penicillin G
• Patient education on the importance of completing antibiotic therapy
• Monitoring for symptom resolution and potential complications
• Follow-up appointments to ensure effective treatment and partner notification

Using ICD-10 Code A51.42 for Secondary syphilitic female pelvic disease in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes
• Use the code in settings where secondary syphilis is diagnosed or treated
• Align treatment plans with clinical guidelines to support justified billing
• Include relevant CPT codes for services rendered alongside the diagnosis

Related ICD-10 Codes Often Used with Secondary syphilitic female pelvic disease

• A51.41 – Primary syphilis
• A52.00 – Late syphilis, unspecified
• A54.9 – Gonococcal infection, unspecified
• N70.9 – Pelvic inflammatory disease, unspecified

ICD-10 Code A51.42 in Medical Billing and Insurance for Secondary syphilitic female pelvic disease

ICD-10 Code A51.42 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services related to secondary syphilis.

Billing Notes:

• Document all relevant patient history and clinical findings to support the diagnosis
• Use the code in conjunction with appropriate CPT codes for laboratory tests and treatments
• Ensure compliance with payer guidelines for coding and billing practices
• Maintain thorough records of patient interactions and treatment plans

Common CPT Pairings: