ICD-10 Code A91 | Dengue hemorrhagic fever Symptoms, Diagnosis, Billing

Dengue hemorrhagic fever is a severe form of dengue virus infection characterized by increased vascular permeability, bleeding, and organ impairment. It is primarily transmitted by Aedes mosquitoes and poses significant clinical importance due to its potential for high morbidity and mortality. Accurate coding with ICD-10 Code A91 facilitates precise diagnosis, documentation, medical billing, and public health reporting, ensuring effective management and resource allocation.

What is ICD-10 Code A91 for Dengue hemorrhagic fever?

ICD-10 Code A91 represents Dengue hemorrhagic fever, a serious complication of dengue virus infection. This code should be used when documenting cases that exhibit severe manifestations, including bleeding tendencies and plasma leakage. Proper use of this code in clinical documentation and billing is essential for accurate patient management and reimbursement processes.

ICD-10 Code A91 – Clinical Definition and Explanation of Dengue hemorrhagic fever

Dengue hemorrhagic fever is caused by the dengue virus, transmitted through mosquito bites. The condition can progress rapidly, leading to severe complications such as shock and organ failure, necessitating immediate medical attention. Early recognition and intervention are critical to improving patient outcomes.

Key Clinical Features:

• High fever, often exceeding 39°C (102°F)
• Severe abdominal pain and persistent vomiting
• Bleeding manifestations, such as petechiae or gastrointestinal bleeding
• Signs of plasma leakage, including ascites or pleural effusion

ICD-10 Code A91 for Dengue hemorrhagic fever – SOAP Notes & Clinical Use

ICD-10 Code A91 is utilized in SOAP notes to document the clinical presentation, assessment, and management of Dengue hemorrhagic fever. It plays a vital role in capturing symptoms, guiding treatment decisions, and ensuring comprehensive care in both acute and chronic settings.

What Does ICD-10 Code A91 for Dengue hemorrhagic fever Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A91 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Dengue hemorrhagic fever. This code is crucial for maintaining continuity of care, supporting accurate billing, and adhering to EHR documentation standards.

Treatment Options for ICD-10 Code A91 – Dengue hemorrhagic fever

Dengue hemorrhagic fever requires urgent medical intervention, often necessitating hospitalization for monitoring and treatment.

Antibiotic Therapy:

• Antibiotics are not indicated as dengue is viral; supportive care is primary.
• If secondary bacterial infections occur, consider broad-spectrum antibiotics.

Supportive Care:

• Intravenous fluid replacement to manage dehydration.
• Pain management with acetaminophen; avoid NSAIDs due to bleeding risk.
• Monitoring of hematocrit and platelet levels.

Infection Control:

• Implement vector control measures to prevent mosquito bites.
• Educate patients on personal protective measures during outbreaks.

How to Document Symptoms of Dengue hemorrhagic fever (ICD-10 A91) in SOAP Notes

Subjective:

• Patient reports high fever lasting several days.
• Complaints of severe headache and retro-orbital pain.
• History of recent travel to endemic areas.
• Reports of easy bruising and bleeding gums.

Objective:

• Vital signs: temperature 39.5°C, pulse 110 bpm, hypotensive.
• Physical exam reveals petechiae and abdominal tenderness.
• Laboratory findings: thrombocytopenia, elevated liver enzymes.
• Hematocrit levels indicate plasma leakage.

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SOAP Note Guidelines for Diagnosing Dengue hemorrhagic fever (ICD-10 Code A91)

Assessment:

• Diagnosis: Dengue hemorrhagic fever, severe.
• ICD-10 Code: A91.
• Contributing factors: Recent travel to endemic region, exposure to mosquitoes.
• Severity: High risk for complications due to bleeding and shock.

Plan:

• Initiate IV fluid therapy to maintain hydration.
• Monitor vital signs and laboratory parameters closely.
• Educate patient on warning signs of severe disease.
• Schedule follow-up in 24-48 hours for reassessment.

Treatment & Plan Section for ICD-10 Code A91 – Dengue hemorrhagic fever

• Administer IV fluids to prevent shock and dehydration.
• Provide analgesics like acetaminophen for fever and pain relief.
• Monitor for signs of bleeding and organ dysfunction.
• Educate on mosquito bite prevention and symptom awareness.

Using ICD-10 Code A91 for Dengue hemorrhagic fever in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use ICD-10 Code A91 for all cases of Dengue hemorrhagic fever with severe manifestations.
• Align treatment plans with clinical guidelines to support billing.
• Include relevant CPT codes for laboratory tests and treatments.

Related ICD-10 Codes Often Used with Dengue hemorrhagic fever

• A90 – Dengue fever
• A92.0 – Dengue virus infection, unspecified
• A92.5 – Dengue hemorrhagic fever due to dengue virus

ICD-10 Code A91 in Medical Billing and Insurance for Dengue hemorrhagic fever

ICD-10 Code A91 is critical for accurate billing in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings and treatments to support the ICD-10 claim.
• Use A91 for severe cases requiring hospitalization and intensive monitoring.
• Ensure compliance with payer guidelines for documentation and coding.
• Include patient history and travel exposure in the medical record.

Common CPT Pairings: