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ICD-10 Code B00.82 | Herpes simplex myelitis Symptoms, Diagnosis, Billing

Herpes simplex myelitis is a rare but serious viral infection of the spinal cord caused by the herpes simplex virus (HSV). It can lead to significant neurological impairment and requires prompt diagnosis and treatment. The ICD-10 Code B00.82 facilitates accurate documentation, billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this condition.

What is ICD-10 Code B00.82 for Herpes simplex myelitis?

ICD-10 Code B00.82 represents Herpes simplex myelitis, an inflammatory condition of the spinal cord caused by the herpes simplex virus. This code is used in clinical documentation and billing when diagnosing patients with this condition, ensuring proper treatment and management of the associated symptoms and complications.

ICD-10 Code B00.82 – Clinical Definition and Explanation of Herpes simplex myelitis

Herpes simplex myelitis is primarily caused by the reactivation of the herpes simplex virus, leading to inflammation of the spinal cord. This condition can progress rapidly, resulting in severe neurological deficits, and necessitates immediate medical intervention.

Key Clinical Features:

  • Acute onset of fever and neurological symptoms
  • Altered mental status or confusion
  • Motor weakness or paralysis
  • Sensory deficits in the lower extremities

ICD-10 Code B00.82 for Herpes simplex myelitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B00.82 is utilized to document the diagnosis of Herpes simplex myelitis, aiding in the assessment of symptoms, treatment plans, and follow-up care. This code is relevant in both acute and chronic care settings.

What Does ICD-10 Code B00.82 for Herpes simplex myelitis Mean in SOAP Notes?

ICD-10 Code B00.82 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Herpes simplex myelitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B00.82 – Herpes simplex myelitis

Herpes simplex myelitis requires urgent medical attention, often necessitating hospitalization for effective management.

Antibiotic Therapy:

  • Acyclovir (first-line) - 10 mg/kg IV every 8 hours for 14-21 days
  • Valacyclovir (alternative) - 1 g orally three times daily for 7-10 days
  • Supportive care may be required for severe cases
  • Consideration of adjunct therapies based on clinical response

Supportive Care:

  • Intravenous fluids to maintain hydration
  • Pain management with analgesics
  • Physical therapy for rehabilitation
  • Monitoring for complications such as respiratory failure

Infection Control:

  • Standard precautions to prevent transmission
  • Isolation protocols during outbreaks
  • Education on hygiene practices for affected patients

How to Document Symptoms of Herpes simplex myelitis (ICD-10 B00.82) in SOAP Notes

Subjective:

  • Patient reports sudden onset of fever and neck stiffness
  • Complains of weakness in the legs and difficulty walking
  • Describes altered mental status and confusion
  • History of recent herpes simplex virus infection

Objective:

  • Neurological examination reveals decreased reflexes in lower extremities
  • MRI shows inflammation of the spinal cord
  • Vital signs indicate fever and tachycardia
  • CSF analysis shows elevated white blood cell count
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SOAP Note Guidelines for Diagnosing Herpes simplex myelitis (ICD-10 Code B00.82)

Assessment:

  • Diagnosis: Herpes simplex myelitis, severe
  • ICD-10 Code: B00.82
  • Contributing factors: Recent HSV infection, immunocompromised state
  • Severity: Acute neurological impairment

Plan:

  • Initiate IV acyclovir therapy
  • Monitor neurological status and vital signs
  • Provide supportive care and pain management
  • Schedule follow-up MRI in one week to assess treatment response

Treatment & Plan Section for ICD-10 Code B00.82 – Herpes simplex myelitis

  • First-line treatment with acyclovir for antiviral therapy
  • Consideration of physical therapy for rehabilitation
  • Regular monitoring of neurological function and vital signs
  • Patient education on the nature of the disease and treatment plan

Using ICD-10 Code B00.82 for Herpes simplex myelitis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in SOAP notes
  • Use B00.82 in conjunction with relevant CPT codes for billing
  • Maintain compliance with clinical guidelines for treatment and documentation
  • Document any complications or comorbidities that may affect billing

ICD-10 Code B00.82 in Medical Billing and Insurance for Herpes simplex myelitis

ICD-10 Code B00.82 is crucial for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all relevant clinical findings and patient history to support the diagnosis
  • Use B00.82 in the primary diagnosis field for accurate billing
  • Ensure that treatment plans align with clinical guidelines for reimbursement
  • Include any complications or additional diagnoses that may affect billing

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically 70 minutes or more of total time on the date of the encounter
70450CT scan of the head or brain, without contrast material
96365Intravenous infusion, for therapy, prophylaxis, or diagnosis, initial, up to 1 hour

Frequently Asked Questions

Common Questions About Using ICD-10 Code B00.82 for Herpes simplex myelitis

What are the common symptoms of Herpes simplex myelitis?

Common symptoms include fever, neck stiffness, altered mental status, and motor weakness or paralysis in the legs. Patients may also experience sensory deficits and changes in reflexes.

How is Herpes simplex myelitis diagnosed?

Diagnosis is typically made through clinical evaluation, MRI imaging, and cerebrospinal fluid analysis. The presence of the herpes simplex virus in CSF confirms the diagnosis.

What is the treatment for Herpes simplex myelitis?

Treatment primarily involves antiviral therapy with acyclovir, along with supportive care to manage symptoms and prevent complications. Hospitalization is often required for severe cases.

Is Herpes simplex myelitis contagious?

While the herpes simplex virus is contagious, Herpes simplex myelitis itself is not directly contagious. However, the underlying virus can be transmitted through direct contact with infected lesions or bodily fluids.

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