Exanthema subitum, also known as sixth disease, is a viral infection primarily affecting infants and young children, characterized by a sudden high fever followed by a distinctive rash. The condition is typically caused by human herpesvirus 6 (HHV-6) or, less commonly, HHV-7. Accurate coding with ICD-10 Code B08.20 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this common childhood illness.
What is ICD-10 Code B08.20 for Exanthema subitum [sixth disease], unspecified?
ICD-10 Code B08.20 represents Exanthema subitum [sixth disease], unspecified, a viral infection primarily affecting children. This code is used when the diagnosis is confirmed but lacks specific details regarding the clinical presentation or complications. It is essential for accurate clinical documentation and billing, particularly in pediatric care settings.
ICD-10 Code B08.20 – Clinical Definition and Explanation of Exanthema subitum [sixth disease], unspecified
Exanthema subitum is a common viral illness in young children, typically caused by human herpesvirus 6. The condition is characterized by a sudden onset of high fever, which may last for several days, followed by the appearance of a rash. Medical attention is necessary to rule out other serious conditions and to manage symptoms effectively.
Key Clinical Features:
- Sudden high fever lasting 3-5 days, often exceeding 39°C (102°F).
- Rash appears after fever resolution, typically starting on the trunk and spreading to the extremities.
- Rash is usually rose-pink, maculopapular, and may be accompanied by mild respiratory symptoms.
- Common in children aged 6 months to 2 years, with most cases occurring before age 3.
ICD-10 Code B08.20 for Exanthema subitum [sixth disease], unspecified – SOAP Notes & Clinical Use
ICD-10 Code B08.20 is utilized in SOAP notes to document the diagnosis of Exanthema subitum. It plays a crucial role in capturing patient symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation and facilitating appropriate billing processes.
What Does ICD-10 Code B08.20 for Exanthema subitum [sixth disease], unspecified Mean in SOAP Notes?
In SOAP notes, ICD-10 Code B08.20 connects subjective reports of symptoms with objective clinical findings, leading to a formal diagnosis. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting electronic health record documentation standards.
Treatment Options for ICD-10 Code B08.20 – Exanthema subitum [sixth disease], unspecified
Management of Exanthema subitum primarily focuses on symptomatic relief, as the condition is self-limiting. Hospitalization may be necessary in severe cases or for patients with complications.
Antibiotic Therapy:
- Not applicable as Exanthema subitum is viral; antibiotics are not indicated.
Supportive Care:
- Hydration to prevent dehydration due to fever.
- Antipyretics such as acetaminophen or ibuprofen for fever management.
- Monitoring for any complications, especially in immunocompromised patients.
Infection Control:
- Standard precautions should be followed to prevent spread, especially in daycare settings.
- Educate caregivers on hygiene practices to minimize transmission.
How to Document Symptoms of Exanthema subitum [sixth disease], unspecified (ICD-10 B08.20) in SOAP Notes
Subjective:
- Patient reports sudden onset of high fever for 3 days.
- Caregiver notes rash developed after fever subsided.
- No significant respiratory symptoms reported.
- Child appears irritable but otherwise alert.
Objective:
- Temperature: 39.5°C (103.1°F) on examination.
- Rash observed on trunk and extremities, rose-pink and maculopapular.
- No signs of respiratory distress or dehydration.
- Vital signs stable, heart rate and respiratory rate within normal limits.
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SOAP Note Guidelines for Diagnosing Exanthema subitum [sixth disease], unspecified (ICD-10 Code B08.20)
Assessment:
- Diagnosis: Exanthema subitum [sixth disease], unspecified, mild severity.
- ICD-10 Code: B08.20.
- Common triggers include viral infections, particularly HHV-6.
- No significant complications noted at this time.
Plan:
- Administer antipyretics as needed for fever control.
- Encourage fluid intake to maintain hydration.
- Educate caregivers on the self-limiting nature of the illness.
- Schedule follow-up if symptoms worsen or do not improve within a week.
Treatment & Plan Section for ICD-10 Code B08.20 – Exanthema subitum [sixth disease], unspecified
- First-line treatment includes antipyretics for fever management.
- Non-pharmacologic strategies include ensuring adequate hydration and rest.
- Monitoring for any signs of complications, such as dehydration or secondary infections.
- Follow-up appointments to assess recovery and provide reassurance to caregivers.
Using ICD-10 Code B08.20 for Exanthema subitum [sixth disease], unspecified in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
- Use the code in conjunction with appropriate CPT codes for any services rendered.
- Align treatment plans with clinical guidelines to support justified billing.
- Document any patient education provided to caregivers regarding the condition.
Related ICD-10 Codes Often Used with Exanthema subitum [sixth disease], unspecified
ICD-10 Code B08.20 in Medical Billing and Insurance for Exanthema subitum [sixth disease], unspecified
ICD-10 Code B08.20 is crucial in medical billing, particularly in pediatric and infectious disease contexts.
Billing Notes:
- Document all relevant clinical findings and patient history to support the use of this code.
- Use in settings such as outpatient clinics, emergency rooms, and inpatient admissions.
- Ensure that the diagnosis aligns with the services provided to facilitate accurate claims processing.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, typically 15-29 minutes. |
| 99406 | Smoking cessation counseling visit. |
| 99391 | Periodic comprehensive preventive medicine reevaluation and management. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code B08.20 for Exanthema subitum [sixth disease], unspecified
What are the common symptoms of Exanthema subitum?
Common symptoms include a sudden high fever lasting 3-5 days, followed by a distinctive rose-pink rash that appears after the fever resolves. Other mild symptoms may include irritability and mild respiratory signs.
Is Exanthema subitum contagious?
Yes, Exanthema subitum is contagious, primarily through respiratory secretions. It is most commonly spread among young children, especially in daycare settings.
When should a child with Exanthema subitum see a doctor?
A child should see a doctor if they experience severe symptoms, such as difficulty breathing, persistent high fever, or signs of dehydration. Medical evaluation is also important to rule out other serious conditions.
How is Exanthema subitum treated?
Treatment is primarily supportive, focusing on fever management with antipyretics and ensuring adequate hydration. The condition is self-limiting and typically resolves without complications.
