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ICD-10 Code A67.2 | Late lesions of pinta Symptoms, Diagnosis, Billing

Late lesions of pinta are the advanced manifestations of a chronic skin infection caused by the spirochete Treponema carateum. This condition is clinically significant as it can lead to severe disfigurement and psychosocial issues. Accurate coding with ICD-10 Code A67.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code A67.2 for Late lesions of pinta?

ICD-10 Code A67.2 represents Late lesions of pinta, which are characterized by skin changes resulting from untreated or inadequately treated pinta. This condition is a late-stage manifestation of the underlying treponemal infection, leading to significant dermatological complications. This code should be used in clinical documentation and billing when late-stage symptoms are present, ensuring accurate representation of the patient's condition.

ICD-10 Code A67.2 – Clinical Definition and Explanation of Late lesions of pinta

Late lesions of pinta are caused by the chronic infection with Treponema carateum, leading to progressive skin changes. The condition requires medical attention due to its potential for causing significant morbidity and psychosocial impact. Early recognition and treatment are crucial to prevent progression.

Key Clinical Features:

  • Development of disfiguring skin lesions, often with a characteristic appearance.
  • Potential for secondary infections due to skin breakdown.
  • Psychosocial effects, including stigma and mental health issues.
  • Epidemiological association with endemic regions and populations.

ICD-10 Code A67.2 for Late lesions of pinta – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A67.2 is utilized to document the presence of late lesions associated with pinta. This code aids in capturing the patient's symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code A67.2 for Late lesions of pinta Mean in SOAP Notes?

ICD-10 Code A67.2 connects subjective patient reports of skin lesions and objective clinical findings to a formal diagnosis of late lesions of pinta. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A67.2 – Late lesions of pinta

Late lesions of pinta require prompt medical intervention to manage symptoms and prevent complications. Hospitalization may be necessary for severe cases.

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.

Supportive Care:

  • Wound care for skin lesions to prevent secondary infections.
  • Pain management as needed.
  • Psychosocial support and counseling for affected individuals.

Infection Control:

  • Educate patients on hygiene practices to prevent spread.
  • Monitor for outbreaks in endemic areas.
  • Implement isolation precautions if necessary.

How to Document Symptoms of Late lesions of pinta (ICD-10 A67.2) in SOAP Notes

Subjective:

  • Patient reports persistent skin lesions with changes in color and texture.
  • History of untreated skin infections in endemic areas.
  • Complaints of itching and discomfort associated with lesions.
  • Patient expresses concern about appearance and social stigma.

Objective:

  • Physical examination reveals multiple erythematous plaques with scaling.
  • Lesions are located primarily on the trunk and extremities.
  • No signs of acute infection or systemic involvement noted.
  • Vital signs within normal limits.
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SOAP Note Guidelines for Diagnosing Late lesions of pinta (ICD-10 Code A67.2)

Assessment:

  • Diagnosis: Late lesions of pinta, moderate severity.
  • ICD-10 Code: A67.2.
  • Contributing factors: History of untreated treponemal infection.
  • No acute complications noted at this time.

Plan:

  • Initiate benzathine penicillin G treatment.
  • Provide education on skin care and hygiene.
  • Schedule follow-up appointment in 2 weeks to assess treatment response.
  • Refer to dermatology for further evaluation if lesions do not improve.

Treatment & Plan Section for ICD-10 Code A67.2 – Late lesions of pinta

  • First-line pharmacologic treatment includes benzathine penicillin G.
  • Non-pharmacologic strategies involve patient education on skin care.
  • Monitoring includes regular follow-up to assess lesion improvement.
  • Consider referral to specialists for persistent or complicated cases.

Using ICD-10 Code A67.2 for Late lesions of pinta in Billing & SOAP Note Compliance

  • Select appropriate documentation that clearly describes the patient's symptoms and history.
  • Ensure the use of A67.2 is justified by clinical findings in the SOAP notes.
  • Align treatment plans with clinical guidelines to support billing.
  • Include relevant CPT codes that correspond to the services provided.

ICD-10 Code A67.2 in Medical Billing and Insurance for Late lesions of pinta

ICD-10 Code A67.2 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all relevant patient history and clinical findings to support the use of A67.2.
  • Use this code in conjunction with detailed treatment plans for accurate billing.
  • Ensure compliance with payer requirements for documentation and coding.
  • Review coding guidelines regularly to stay updated on any changes.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, moderate complexity.
36415Collection of venous blood by venipuncture.
17000Destruction of benign skin lesions.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A67.2 for Late lesions of pinta

What are the common symptoms of late lesions of pinta?

Common symptoms include disfiguring skin lesions, changes in skin color and texture, and associated itching or discomfort. Patients may also experience psychosocial effects due to the appearance of the lesions.

How is late lesions of pinta treated?

Treatment typically involves antibiotic therapy, such as benzathine penicillin G, along with supportive care for skin lesions. Early intervention is crucial to prevent complications.

Is late lesions of pinta contagious?

Late lesions of pinta are not directly contagious; however, the underlying infection can be transmitted through direct contact with infected individuals. Proper hygiene and treatment are essential to prevent spread.

When should ICD-10 Code A67.2 be used?

ICD-10 Code A67.2 should be used when documenting late-stage symptoms of pinta in patients with a history of treponemal infection, ensuring accurate representation of their clinical condition.

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