ICD-10 Code A87.2 | Lymphocytic choriomeningitis Symptoms, Diagnosis, Billing

Lymphocytic choriomeningitis is a viral infection caused by the lymphocytic choriomeningitis virus (LCMV), primarily transmitted through exposure to infected rodents or their excretions. Clinically significant due to its potential to cause severe neurological complications, accurate coding with ICD-10 Code A87.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting.

What is ICD-10 Code A87.2 for Lymphocytic choriomeningitis?

ICD-10 Code A87.2 specifically represents Lymphocytic choriomeningitis, a viral infection characterized by inflammation of the meninges and choroid plexus. This code should be used in clinical documentation when diagnosing patients with confirmed or suspected LCMV infection, ensuring accurate billing and tracking of this infectious disease.

ICD-10 Code A87.2 – Clinical Definition and Explanation of Lymphocytic choriomeningitis

Lymphocytic choriomeningitis is caused by the lymphocytic choriomeningitis virus, primarily transmitted through contact with infected rodents. The condition can progress to severe neurological manifestations, necessitating prompt medical attention.

Key Clinical Features:

• Fever and malaise, often preceding neurological symptoms.
• Headache and photophobia, indicating meningeal irritation.
• Nausea and vomiting, common in acute presentations.
• Neurological deficits, including confusion or seizures in severe cases.

ICD-10 Code A87.2 for Lymphocytic choriomeningitis – SOAP Notes & Clinical Use

ICD-10 Code A87.2 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to Lymphocytic choriomeningitis. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A87.2 for Lymphocytic choriomeningitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A87.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Lymphocytic choriomeningitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A87.2 – Lymphocytic choriomeningitis

Lymphocytic choriomeningitis may require hospitalization, especially in severe cases. Treatment focuses on supportive care, as there is no specific antiviral therapy.

Antibiotic Therapy:

• Not applicable as LCMV is viral; no antibiotics are indicated.

Supportive Care:

• Hydration and electrolyte management.
• Pain relief with analgesics.
• Monitoring for neurological complications.

Infection Control:

• Implement precautions to prevent rodent exposure.
• Educate patients on hygiene practices to reduce transmission risk.

How to Document Symptoms of Lymphocytic choriomeningitis (ICD-10 A87.2) in SOAP Notes

Subjective:

• Patient reports fever, headache, and fatigue.
• History of recent exposure to rodents or their droppings.
• Complaints of nausea and vomiting.
• Patient expresses concern about neurological symptoms.

Objective:

• Temperature: 101°F, indicating fever.
• Neurological examination reveals photophobia.
• Positive Brudzinski's sign on physical exam.
• Laboratory tests show elevated white blood cell count.

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SOAP Note Guidelines for Diagnosing Lymphocytic choriomeningitis (ICD-10 Code A87.2)

Assessment:

• Diagnosis: Lymphocytic choriomeningitis, confirmed by clinical presentation.
• Severity: Moderate, with neurological symptoms present.
• ICD-10 Code: A87.2.
• Contributing factors: Recent rodent exposure.

Plan:

• Administer supportive care, including hydration and analgesics.
• Monitor neurological status closely.
• Educate patient on infection control measures.
• Schedule follow-up in one week to reassess symptoms.

Treatment & Plan Section for ICD-10 Code A87.2 – Lymphocytic choriomeningitis

• Supportive care is the mainstay of treatment; no antiviral therapy is available.
• Encourage hydration and rest to aid recovery.
• Monitor for any progression of neurological symptoms.
• Provide education on avoiding rodent exposure to prevent future infections.

Using ICD-10 Code A87.2 for Lymphocytic choriomeningitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
• Use the correct ICD-10 code to support billing for diagnostic tests and treatments.
• Align treatment plans with clinical guidelines to justify billing.
• Document any relevant patient education provided during the visit.

Related ICD-10 Codes Often Used with Lymphocytic choriomeningitis

• A87.0 – Viral meningitis due to other specified viruses

ICD-10 Code A87.2 in Medical Billing and Insurance for Lymphocytic choriomeningitis

ICD-10 Code A87.2 is crucial for billing in hospital, emergency room, or infectious disease settings.

Billing Notes:

• Document all relevant clinical findings to support the use of A87.2.
• Ensure the code is used in conjunction with appropriate CPT codes for services rendered.
• Include patient education and follow-up plans in documentation to enhance billing accuracy.
• Use A87.2 in settings where LCMV exposure is suspected or confirmed.

Common CPT Pairings: