ICD-10 Code A77.1 | Spotted fever due to Rickettsia conorii Symptoms, Diagnosis, Billing

Spotted fever due to Rickettsia conorii is a tick-borne illness caused by the Rickettsia conorii bacterium. It is clinically significant due to its potential severity and the need for prompt diagnosis and treatment. The ICD-10 Code A77.1 facilitates accurate documentation, billing, and public health reporting, ensuring that healthcare providers can effectively manage and track cases of this infectious disease.

What is ICD-10 Code A77.1 for Spotted fever due to Rickettsia conorii?

ICD-10 Code A77.1 represents Spotted fever due to Rickettsia conorii, an infectious disease transmitted by tick bites. This code should be used when documenting cases of this condition in clinical settings, particularly when patients present with symptoms such as fever, rash, and history of tick exposure. Accurate coding is essential for effective treatment and reimbursement processes.

ICD-10 Code A77.1 – Clinical Definition and Explanation of Spotted fever due to Rickettsia conorii

Spotted fever due to Rickettsia conorii is caused by the Rickettsia conorii bacterium, primarily transmitted through the bite of infected ticks. The disease can progress rapidly, leading to severe complications if not treated promptly. Medical attention is crucial for diagnosis and management.

Key Clinical Features:

• Fever and chills, often accompanied by headache and myalgia.
• Rash that typically appears 2-5 days after fever onset, often starting on wrists and ankles.
• History of tick exposure, particularly in endemic areas.
• Potential for severe complications such as renal failure or respiratory distress if untreated.

ICD-10 Code A77.1 for Spotted fever due to Rickettsia conorii – SOAP Notes & Clinical Use

ICD-10 Code A77.1 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, ensuring comprehensive documentation of the patient's condition and facilitating effective communication among healthcare providers.

What Does ICD-10 Code A77.1 for Spotted fever due to Rickettsia conorii Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A77.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Spotted fever due to Rickettsia conorii. This coding ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A77.1 – Spotted fever due to Rickettsia conorii

Spotted fever due to Rickettsia conorii requires prompt medical intervention, often necessitating hospitalization for severe cases. Appropriate antibiotic therapy is critical for effective management.

Antibiotic Therapy:

• Doxycycline is the first-line treatment, typically administered for 7-14 days.
• Alternative antibiotics include chloramphenicol for patients who cannot tolerate doxycycline.
• Early initiation of therapy is crucial to prevent complications.

Supportive Care:

• Hydration and electrolyte management to address fever and dehydration.
• Symptomatic treatment for pain and fever, such as acetaminophen or NSAIDs.
• Monitoring for complications, including renal function and respiratory status.

Infection Control:

• Standard precautions should be observed to prevent transmission.
• Education on tick prevention strategies for patients and families.
• Reporting cases to public health authorities as required.

How to Document Symptoms of Spotted fever due to Rickettsia conorii (ICD-10 A77.1) in SOAP Notes

Subjective:

• Patient reports fever, chills, and severe headache for the past 3 days.
• Noted rash developing on wrists and ankles after recent hiking trip.
• History of tick exposure in endemic area.
• Complaints of muscle aches and fatigue.

Objective:

• Vital signs: Temperature 102°F, heart rate 98 bpm, blood pressure 120/80 mmHg.
• Rash observed on extremities, maculopapular in nature.
• Laboratory findings: Elevated white blood cell count and liver enzymes.
• No signs of respiratory distress or renal impairment noted.

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SOAP Note Guidelines for Diagnosing Spotted fever due to Rickettsia conorii (ICD-10 Code A77.1)

Assessment:

• Diagnosis: Spotted fever due to Rickettsia conorii, moderate severity.
• ICD-10 Code: A77.1.
• Contributing factors: Recent tick exposure and endemic area travel.
• Monitor for potential complications such as renal failure.

Plan:

• Initiate doxycycline 100 mg orally twice daily for 10 days.
• Provide education on tick prevention and signs of complications.
• Schedule follow-up in 1 week to monitor symptoms and response to treatment.
• Consider laboratory re-evaluation if symptoms worsen.

Treatment & Plan Section for ICD-10 Code A77.1 – Spotted fever due to Rickettsia conorii

• First-line pharmacologic treatment: Doxycycline 100 mg twice daily.
• Non-pharmacologic strategies: Educate on tick avoidance and personal protective measures.
• Monitoring practices: Regular follow-up to assess treatment efficacy and symptom resolution.
• Follow-up practices: Re-evaluate in 1 week or sooner if symptoms escalate.

Using ICD-10 Code A77.1 for Spotted fever due to Rickettsia conorii in Billing & SOAP Note Compliance

• Select accurate subcodes based on clinical severity or complications.
• Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Commonly billed CPT codes include those for evaluation and management services.

Related ICD-10 Codes Often Used with Spotted fever due to Rickettsia conorii

• A77.0 – African tick-bite fever
• A77.9 – Rickettsial infection, unspecified
• A92.0 – Dengue fever
• A69.2 – Rickettsial disease

ICD-10 Code A77.1 in Medical Billing and Insurance for Spotted fever due to Rickettsia conorii

ICD-10 Code A77.1 is essential for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed patient history and symptomatology.
• Use this code in conjunction with appropriate evaluation and management codes.
• Highlight any complications or comorbidities to support the claim.
• Maintain compliance with payer-specific guidelines for coding.

Common CPT Pairings: