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ICD-10 Code A81.83 | Fatal familial insomnia Symptoms, Diagnosis, Billing

Fatal familial insomnia is a rare genetic disorder characterized by severe insomnia, leading to significant cognitive decline and ultimately death. It is caused by a mutation in the prion protein gene, resulting in neurodegeneration. Accurate coding with ICD-10 Code A81.83 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 A81.83 for Fatal familial insomnia?

ICD-10 Code A81.83 represents Fatal familial insomnia, a hereditary prion disease that leads to progressive insomnia, cognitive dysfunction, and autonomic dysregulation. This code should be used in clinical documentation and billing when diagnosing patients with this condition, ensuring accurate representation of the disease for treatment and epidemiological tracking.

ICD-10 Code A81.83 – Clinical Definition and Explanation of Fatal familial insomnia

Fatal familial insomnia is caused by a genetic mutation that leads to the accumulation of abnormal prion proteins in the brain, resulting in severe sleep disturbances and neurodegeneration. The condition progresses rapidly, necessitating immediate medical attention due to its life-threatening nature.

Key Clinical Features:

  • Severe insomnia and sleep disturbances
  • Cognitive decline and memory loss
  • Autonomic dysfunction (e.g., sweating, heart rate changes)
  • Motor disturbances (e.g., ataxia, tremors)

ICD-10 Code A81.83 for Fatal familial insomnia – SOAP Notes & Clinical Use

ICD-10 Code A81.83 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, facilitating comprehensive documentation and continuity of care.

What Does ICD-10 Code A81.83 for Fatal familial insomnia Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A81.83 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Fatal familial insomnia. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A81.83 – Fatal familial insomnia

Fatal familial insomnia requires urgent medical intervention due to its progressive nature. Treatment focuses on symptom management and supportive care.

Antibiotic Therapy:

    Supportive Care:

    • Psychological support and counseling
    • Sleep hygiene education
    • Management of autonomic symptoms

    Infection Control:

      How to Document Symptoms of Fatal familial insomnia (ICD-10 A81.83) in SOAP Notes

      Subjective:

      • Patient reports severe insomnia lasting several months.
      • Complaints of cognitive decline and confusion.
      • History of autonomic symptoms such as excessive sweating.
      • Family history of prion diseases.

      Objective:

      • Neurological examination reveals cognitive impairment.
      • Vital signs show fluctuations in heart rate.
      • Sleep study indicates severe sleep disruption.
      • MRI shows signs of neurodegeneration.
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      SOAP Note Guidelines for Diagnosing Fatal familial insomnia (ICD-10 Code A81.83)

      Assessment:

      • Diagnosis: Fatal familial insomnia, severe.
      • ICD-10 Code: A81.83.
      • Triggers: Genetic mutation, family history.
      • Complications: Risk of severe cognitive decline and death.

      Plan:

      • Implement supportive care measures.
      • Refer to a neurologist for further evaluation.
      • Educate the patient and family about the condition.
      • Schedule follow-up appointments to monitor progression.

      Treatment & Plan Section for ICD-10 Code A81.83 – Fatal familial insomnia

      • Consider referral to sleep specialists for management.
      • Implement cognitive behavioral therapy for insomnia.
      • Monitor neurological status regularly.
      • Provide family support resources and education.

      Using ICD-10 Code A81.83 for Fatal familial insomnia in Billing & SOAP Note Compliance

      • Ensure accurate documentation of symptoms and history.
      • Use the code in appropriate clinical settings, including neurology and sleep medicine.
      • Align treatment plans with clinical guidelines for justified billing.
      • Document all relevant findings under Subjective (S) and Objective (O) sections.

      ICD-10 Code A81.83 in Medical Billing and Insurance for Fatal familial insomnia

      ICD-10 Code A81.83 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate representation of the patient's condition.

      Billing Notes:

      • Document all relevant clinical findings to support the claim.
      • Use the code in conjunction with appropriate clinical services.
      • Ensure compliance with payer guidelines for documentation.
      • Include family history and genetic testing results when applicable.

      Common CPT Pairings:

      CPT CodeDescription
      99214Established patient office visit, moderate complexity.
      95810Polysomnography, sleep study.
      96127Brief emotional/behavioral assessment.

      Frequently Asked Questions

      Common Questions About Using ICD-10 Code A81.83 for Fatal familial insomnia

      What are the main symptoms of Fatal familial insomnia?

      The primary symptoms include severe insomnia, cognitive decline, autonomic dysfunction, and motor disturbances. Patients may experience significant sleep disruption and memory loss, necessitating urgent medical evaluation.

      How is Fatal familial insomnia diagnosed?

      Diagnosis is based on clinical symptoms, family history, and genetic testing for prion protein gene mutations. Neuroimaging and sleep studies may also assist in confirming the diagnosis.

      What is the prognosis for patients with Fatal familial insomnia?

      Fatal familial insomnia is a progressive and fatal condition, with patients typically succumbing within months to a few years after onset. Early intervention and supportive care can help manage symptoms but do not alter the disease course.

      Is Fatal familial insomnia contagious?

      No, Fatal familial insomnia is not contagious. It is a hereditary condition caused by genetic mutations and cannot be transmitted from person to person.

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