ICD-10 Code B26.85 | Mumps arthritis Symptoms, Diagnosis, Billing

Mumps arthritis is an inflammatory condition associated with the mumps virus, characterized by joint pain and swelling. It is clinically significant as it can lead to complications if not diagnosed and treated promptly. The ICD-10 Code B26.85 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage cases of mumps-related arthritis.

What is ICD-10 Code B26.85 for Mumps arthritis?

ICD-10 Code B26.85 represents Mumps arthritis, a complication of mumps infection that manifests as joint inflammation. This code should be used in clinical documentation and billing when a patient presents with arthritis symptoms following a confirmed or suspected mumps infection, ensuring proper coding for treatment and management.

ICD-10 Code B26.85 – Clinical Definition and Explanation of Mumps arthritis

Mumps arthritis is caused by the mumps virus, leading to inflammation of the joints, typically presenting in adolescents and adults. The condition may progress to severe joint pain and swelling, necessitating medical attention to prevent complications such as chronic arthritis. Early diagnosis and treatment are crucial for effective management.

Key Clinical Features:

• Joint pain and swelling, often affecting multiple joints.
• History of mumps infection or exposure.
• Possible fever and systemic symptoms.
• Elevated inflammatory markers in laboratory tests.

ICD-10 Code B26.85 for Mumps arthritis – SOAP Notes & Clinical Use

ICD-10 Code B26.85 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan for Mumps arthritis. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate billing.

What Does ICD-10 Code B26.85 for Mumps arthritis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B26.85 connects subjective reports of joint pain and swelling with objective clinical findings, leading to a formal diagnosis of Mumps arthritis. This code supports continuity of care, aids in billing processes, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B26.85 – Mumps arthritis

Mumps arthritis may require hospitalization in severe cases, particularly if systemic symptoms are present. Treatment focuses on symptom management and supportive care.

Antibiotic Therapy:

• Not applicable as Mumps arthritis is viral; antibiotics are not indicated.

Supportive Care:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief.
• Rest and joint immobilization as needed.
• Hydration and nutritional support.

Infection Control:

• Isolation precautions during outbreaks to prevent transmission.
• Vaccination against mumps for at-risk populations.

How to Document Symptoms of Mumps arthritis (ICD-10 B26.85) in SOAP Notes

Subjective:

• Patient reports joint pain and swelling in knees and wrists.
• History of recent mumps infection confirmed by laboratory tests.
• Complaints of fever and malaise.
• Symptoms worsened over the past week.

Objective:

• Swelling and tenderness noted in multiple joints on examination.
• Temperature: 101°F.
• Elevated ESR and CRP levels.
• Range of motion limited due to pain.

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SOAP Note Guidelines for Diagnosing Mumps arthritis (ICD-10 Code B26.85)

Assessment:

• Diagnosis: Mumps arthritis, moderate severity.
• ICD-10 Code: B26.85.
• Contributing factors: Recent mumps infection.
• Triggers: Viral infection leading to joint inflammation.

Plan:

• Administer NSAIDs for pain management.
• Educate patient on joint care and activity modification.
• Monitor symptoms and inflammatory markers.
• Schedule follow-up in one week to reassess.

Treatment & Plan Section for ICD-10 Code B26.85 – Mumps arthritis

• First-line treatment includes NSAIDs for pain and inflammation.
• Encourage rest and joint protection to reduce strain.
• Monitor for any signs of complications or chronic symptoms.
• Follow-up appointments to evaluate treatment efficacy and adjust as necessary.

Using ICD-10 Code B26.85 for Mumps arthritis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history in the Subjective (S) and Objective (O) sections.
• Use B26.85 for billing when Mumps arthritis is diagnosed following mumps infection.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Mumps arthritis

• B26.0 – Mumps with encephalitis
• B26.1 – Mumps with orchitis
• B26.2 – Mumps with oophoritis
• B26.9 – Mumps, unspecified

ICD-10 Code B26.85 in Medical Billing and Insurance for Mumps arthritis

ICD-10 Code B26.85 is critical for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and clinical findings to support the use of B26.85.
• Ensure the code is used in conjunction with appropriate CPT codes for services rendered.
• Maintain clear records of treatment plans and patient education efforts.
• Review coding guidelines to ensure compliance with payer requirements.

Common CPT Pairings: