ICD-10 Code A66.4 | Gummata and ulcers of yaws Symptoms, Diagnosis, Billing

Gummata and ulcers of yaws are manifestations of the chronic infectious disease yaws, caused by the bacterium Treponema pallidum pertenue. This condition is clinically significant as it can lead to severe tissue damage and disfigurement if left untreated. Accurate coding with ICD-10 Code A66.4 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this disease.

What is ICD-10 Code A66.4 for Gummata and ulcers of yaws?

ICD-10 Code A66.4 specifically represents gummata and ulcers associated with yaws, a chronic skin disease caused by Treponema pallidum pertenue. This code should be used when documenting cases where patients present with these specific lesions, indicating a progression of the underlying yaws infection. Proper use of this code in clinical documentation and billing is crucial for accurate patient care and reimbursement.

ICD-10 Code A66.4 – Clinical Definition and Explanation of Gummata and ulcers of yaws

Gummata and ulcers of yaws are characterized by the formation of soft, tumor-like growths (gummata) and ulcerative lesions on the skin, typically occurring in untreated yaws cases. The condition is caused by the spirochete bacterium Treponema pallidum pertenue, which leads to chronic infection and requires prompt medical attention to prevent complications.

Key Clinical Features:

• Gummata appear as raised, soft, and painless lesions on the skin.
• Ulcers may develop, leading to significant tissue destruction.
• Commonly affects the skin, bones, and cartilage.
• Typically occurs in tropical regions with poor sanitation.
• Can lead to secondary infections if not treated.

ICD-10 Code A66.4 for Gummata and ulcers of yaws – SOAP Notes & Clinical Use

ICD-10 Code A66.4 is utilized in SOAP notes to document the presence of gummata and ulcers in patients diagnosed with yaws. This code aids in capturing the patient's symptoms, assessment findings, and treatment plans, ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code A66.4 for Gummata and ulcers of yaws Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A66.4 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of gummata and ulcers of yaws. This coding ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A66.4 – Gummata and ulcers of yaws

Gummata and ulcers of yaws require urgent medical intervention to prevent further complications. Treatment typically involves antibiotic therapy and supportive care.

Antibiotic Therapy:

• Benzathine penicillin G: 2.4 million units IM once.
• Alternative: Doxycycline 100 mg orally twice daily for 14 days.

Supportive Care:

• Wound care for ulcers to prevent secondary infections.
• Pain management as needed.
• Nutritional support to aid healing.

Infection Control:

• Educate patients on hygiene practices.
• Isolate infected individuals during outbreaks.
• Monitor for potential spread in endemic areas.

How to Document Symptoms of Gummata and ulcers of yaws (ICD-10 A66.4) in SOAP Notes

Subjective:

• Patient reports soft, painless lumps on the skin.
• History of untreated yaws infection.
• Complaints of ulcerative lesions causing discomfort.
• No known allergies to antibiotics.

Objective:

• Physical examination reveals multiple gummata on the trunk.
• Ulcers noted on the lower extremities.
• Vital signs stable; no fever present.
• Laboratory tests confirm Treponema pallidum presence.

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SOAP Note Guidelines for Diagnosing Gummata and ulcers of yaws (ICD-10 Code A66.4)

Assessment:

• Diagnosis: Gummata and ulcers of yaws, moderate severity.
• ICD-10 Code: A66.4.
• Contributing factors: History of untreated yaws.
• No known comorbidities affecting treatment.

Plan:

• Initiate benzathine penicillin G treatment.
• Provide wound care instructions.
• Schedule follow-up in one week to assess healing.
• Educate patient on hygiene and prevention of spread.

Treatment & Plan Section for ICD-10 Code A66.4 – Gummata and ulcers of yaws

• First-line treatment with benzathine penicillin G.
• Regular monitoring of ulcer healing and gummata resolution.
• Patient education on hygiene and prevention strategies.
• Follow-up appointments to assess treatment efficacy.

Using ICD-10 Code A66.4 for Gummata and ulcers of yaws in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use A66.4 in appropriate clinical settings, including outpatient and inpatient care.
• Align treatment plans with clinical guidelines for justified billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Gummata and ulcers of yaws

• A66.0 – Yaws, primary stage
• A66.1 – Yaws, secondary stage
• A66.2 – Yaws, tertiary stage
• A69.2 – Other treponemal infections

ICD-10 Code A66.4 in Medical Billing and Insurance for Gummata and ulcers of yaws

ICD-10 Code A66.4 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the claim.
• Use A66.4 in settings where yaws-related complications are treated.
• Ensure that all chart elements align with coding standards.
• Include patient education and follow-up plans in documentation.

Common CPT Pairings: