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ICD-10 Code B37.82 | Candidal enteritis Symptoms, Diagnosis, Billing

Candidal enteritis is an infection of the intestinal tract caused by Candida species, often occurring in immunocompromised patients or those with underlying gastrointestinal conditions. Accurate coding with ICD-10 Code B37.82 is essential for proper diagnosis, documentation, billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code B37.82 for Candidal enteritis?

ICD-10 Code B37.82 represents Candidal enteritis, an infection characterized by the overgrowth of Candida in the intestines. This code is used when documenting cases of enteritis caused by Candida species, particularly in patients with risk factors such as immunosuppression or antibiotic use. It is crucial for accurate clinical documentation and billing.

ICD-10 Code B37.82 – Clinical Definition and Explanation of Candidal enteritis

Candidal enteritis is primarily caused by an overgrowth of Candida species in the gastrointestinal tract, often linked to antibiotic use, immunosuppression, or underlying gastrointestinal disorders. This condition can lead to significant morbidity and requires prompt medical attention.

Key Clinical Features:

  • Diarrhea, often watery and may contain mucus.
  • Abdominal pain or cramping.
  • Nausea and vomiting.
  • Fever in severe cases.

ICD-10 Code B37.82 for Candidal enteritis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B37.82 is utilized to document the diagnosis of Candidal enteritis, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B37.82 for Candidal enteritis Mean in SOAP Notes?

ICD-10 Code B37.82 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Candidal enteritis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B37.82 – Candidal enteritis

Candidal enteritis may necessitate hospitalization, especially in severe cases. Treatment typically involves antifungal therapy and supportive care.

Antibiotic Therapy:

  • Fluconazole: 200-400 mg daily for 14-21 days.
  • Itraconazole: 200 mg daily for 14-21 days.
  • Voriconazole: 6 mg/kg IV every 12 hours for the first 24 hours, then 4 mg/kg every 12 hours.

Supportive Care:

  • Hydration and electrolyte management.
  • Nutritional support as needed.
  • Symptomatic relief for abdominal pain and diarrhea.

Infection Control:

  • Implement standard precautions to prevent spread.
  • Isolate patients with severe infections if necessary.
  • Educate staff on infection control measures.

How to Document Symptoms of Candidal enteritis (ICD-10 B37.82) in SOAP Notes

Subjective:

  • Patient reports persistent diarrhea for 3 days.
  • Complains of abdominal cramping and nausea.
  • History of recent antibiotic use.
  • Fever reported at home, measuring 101°F.

Objective:

  • Abdominal tenderness on palpation.
  • Vital signs: BP 110/70, HR 95, Temp 101°F.
  • Stool examination shows yeast forms.
  • Laboratory tests indicate elevated white blood cell count.
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SOAP Note Guidelines for Diagnosing Candidal enteritis (ICD-10 Code B37.82)

Assessment:

  • Diagnosis: Candidal enteritis, moderate severity.
  • ICD-10 Code: B37.82.
  • Contributing factors: Recent antibiotic therapy, immunocompromised state.
  • Monitor for potential complications.

Plan:

  • Initiate antifungal therapy (e.g., fluconazole).
  • Provide hydration and electrolyte replacement.
  • Educate patient on dietary modifications.
  • Schedule follow-up in one week to reassess symptoms.

Treatment & Plan Section for ICD-10 Code B37.82 – Candidal enteritis

  • First-line antifungal treatment with fluconazole.
  • Encourage fluid intake to prevent dehydration.
  • Monitor for signs of complications such as perforation.
  • Follow-up appointments to assess treatment efficacy.

Using ICD-10 Code B37.82 for Candidal enteritis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and treatment plans.
  • Use B37.82 in appropriate clinical settings, including inpatient and outpatient.
  • Document all relevant clinical findings to support billing.
  • Align treatment plans with clinical guidelines for justified billing.

ICD-10 Code B37.82 in Medical Billing and Insurance for Candidal enteritis

ICD-10 Code B37.82 is crucial for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all patient encounters thoroughly to support claims.
  • Use B37.82 in conjunction with other relevant codes for comprehensive billing.
  • Ensure that clinical documentation aligns with coding guidelines.
  • Include detailed notes on treatment plans and patient responses.

Common CPT Pairings:

CPT CodeDescription
99221Initial hospital care, typically 30-74 minutes.
87529Infectious agent detection by nucleic acid (e.g., Candida).
96372Therapeutic, prophylactic, or diagnostic injection.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B37.82 for Candidal enteritis

What are the common symptoms of Candidal enteritis?

Common symptoms include diarrhea, abdominal pain, nausea, and fever. Patients may also report a history of recent antibiotic use or immunosuppression.

How is Candidal enteritis treated?

Treatment typically involves antifungal medications such as fluconazole, along with supportive care to manage symptoms and prevent dehydration.

When should ICD-10 Code B37.82 be used?

This code should be used when documenting cases of enteritis caused by Candida species, particularly in patients with risk factors like immunosuppression or recent antibiotic therapy.

Is Candidal enteritis contagious?

Candidal enteritis is not considered contagious; it typically occurs in individuals with compromised immune systems or other underlying health conditions.

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