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ICD-10 Code B37.6 | Candidal endocarditis Symptoms, Diagnosis, Billing

Candidal endocarditis is a rare but serious infection of the heart valves caused by Candida species, often occurring in immunocompromised patients or those with prosthetic heart valves. Accurate coding with ICD-10 Code B37.6 is essential for proper diagnosis, documentation, and billing, ensuring appropriate treatment and public health reporting.

What is ICD-10 Code B37.6 for Candidal endocarditis?

ICD-10 Code B37.6 represents Candidal endocarditis, an infection of the heart valves caused by Candida fungi. This code should be used when documenting cases of endocarditis resulting from Candida species, particularly in patients with risk factors such as immunosuppression or prior cardiac surgery, to ensure accurate billing and clinical documentation.

ICD-10 Code B37.6 – Clinical Definition and Explanation of Candidal endocarditis

Candidal endocarditis is primarily caused by Candida species, which can enter the bloodstream and infect heart valves, leading to severe complications. The condition often requires prompt medical intervention due to its potential for rapid deterioration and high mortality rates.

Key Clinical Features:

  • Fever and chills
  • New or changing heart murmur
  • Embolic phenomena (e.g., stroke, organ infarction)
  • Signs of heart failure

ICD-10 Code B37.6 for Candidal endocarditis – SOAP Notes & Clinical Use

ICD-10 Code B37.6 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of Candidal endocarditis. It plays a crucial role in both acute and chronic care settings, ensuring comprehensive patient management and accurate billing.

What Does ICD-10 Code B37.6 for Candidal endocarditis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B37.6 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Candidal endocarditis, facilitating continuity of care and supporting billing processes.

Treatment Options for ICD-10 Code B37.6 – Candidal endocarditis

Candidal endocarditis often necessitates hospitalization for intensive treatment. Antifungal therapy is critical in managing this infection.

Antibiotic Therapy:

  • First-line: Amphotericin B (4-6 weeks)
  • Alternative: Fluconazole (6-12 months)
  • Consider echinocandins for resistant cases
  • Monitor renal function during therapy

Supportive Care:

  • Manage heart failure symptoms
  • Provide fluid and electrolyte balance
  • Monitor for embolic events
  • Consider surgical intervention if indicated

Infection Control:

  • Implement standard precautions
  • Isolate patients with severe infections
  • Educate staff on infection control measures
  • Monitor for outbreaks in healthcare settings

How to Document Symptoms of Candidal endocarditis (ICD-10 B37.6) in SOAP Notes

Subjective:

  • Patient reports persistent fever and chills
  • History of recent dental procedures
  • Complaints of fatigue and malaise
  • Patient has a prosthetic heart valve

Objective:

  • Temperature: 101°F
  • Heart murmur noted on auscultation
  • Positive blood cultures for Candida species
  • Echocardiogram shows vegetations on valves
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SOAP Note Guidelines for Diagnosing Candidal endocarditis (ICD-10 Code B37.6)

Assessment:

  • Diagnosis: Candidal endocarditis, severe
  • ICD-10 Code: B37.6
  • Contributing factors: Immunocompromised state, prosthetic valve
  • Consider potential embolic complications

Plan:

  • Initiate antifungal therapy with Amphotericin B
  • Educate patient on signs of worsening condition
  • Schedule follow-up echocardiogram in 2 weeks
  • Monitor renal function and electrolytes regularly

Treatment & Plan Section for ICD-10 Code B37.6 – Candidal endocarditis

  • Administer antifungal medications as per guidelines
  • Educate patient on the importance of adherence to therapy
  • Monitor for signs of heart failure or embolic events
  • Schedule regular follow-up appointments for assessment

Using ICD-10 Code B37.6 for Candidal endocarditis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings
  • Use B37.6 in conjunction with relevant procedure codes
  • Maintain compliance with coding guidelines for billing
  • Document treatment plans that align with clinical standards

ICD-10 Code B37.6 in Medical Billing and Insurance for Candidal endocarditis

ICD-10 Code B37.6 is critical in medical billing, particularly in hospital and infectious disease settings.

Billing Notes:

  • Document all relevant clinical findings and treatments
  • Use B37.6 in the context of hospital admissions for accurate billing
  • Ensure all chart elements support the diagnosis for claims
  • Include any comorbidities that may affect treatment

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, high complexity
36415Collection of venous blood by venipuncture
93306Echocardiography, transthoracic, complete
87529Infectious agent detection by nucleic acid (Candida)

Frequently Asked Questions

Common Questions About Using ICD-10 Code B37.6 for Candidal endocarditis

What are the common symptoms of Candidal endocarditis?

Common symptoms include fever, chills, fatigue, and new or changing heart murmurs. Patients may also experience embolic events, such as strokes or organ infarctions.

How is Candidal endocarditis diagnosed?

Diagnosis typically involves blood cultures to identify Candida species, echocardiography to visualize vegetations on heart valves, and clinical assessment of symptoms.

What is the treatment for Candidal endocarditis?

Treatment usually involves antifungal therapy, such as Amphotericin B, and may require surgical intervention if there is significant valve damage or persistent infection.

Is Candidal endocarditis contagious?

Candidal endocarditis is not contagious; it occurs due to the presence of Candida in the bloodstream, often in immunocompromised individuals or those with prosthetic devices.

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