ICD-10 Code B39.1 | Chronic pulmonary histoplasmosis capsulati Symptoms, Diagnosis, Billing

Chronic pulmonary histoplasmosis capsulati is a fungal infection caused by the inhalation of spores from the Histoplasma capsulatum fungus. This condition is clinically significant as it can lead to chronic respiratory symptoms and complications, particularly in immunocompromised individuals. Accurate coding with ICD-10 Code B39.1 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code B39.1 for Chronic pulmonary histoplasmosis capsulati?

ICD-10 Code B39.1 represents Chronic pulmonary histoplasmosis capsulati, a condition characterized by persistent pulmonary symptoms resulting from the infection by Histoplasma capsulatum. This code should be used in clinical documentation and billing when a patient presents with chronic respiratory issues linked to this fungal infection, ensuring accurate representation of the patient's health status and facilitating appropriate treatment.

ICD-10 Code B39.1 – Clinical Definition and Explanation of Chronic pulmonary histoplasmosis capsulati

Chronic pulmonary histoplasmosis capsulati is primarily caused by the inhalation of spores from the Histoplasma capsulatum fungus, often found in soil enriched with bird or bat droppings. The condition can progress to chronic lung disease, necessitating medical intervention to prevent severe complications.

Key Clinical Features:

• Chronic cough, often productive of sputum
• Dyspnea on exertion or at rest
• Chest pain or discomfort
• Fatigue and weight loss

ICD-10 Code B39.1 for Chronic pulmonary histoplasmosis capsulati – SOAP Notes & Clinical Use

ICD-10 Code B39.1 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to chronic pulmonary histoplasmosis capsulati. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B39.1 for Chronic pulmonary histoplasmosis capsulati Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B39.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of chronic pulmonary histoplasmosis capsulati. This linkage is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B39.1 – Chronic pulmonary histoplasmosis capsulati

Chronic pulmonary histoplasmosis capsulati may require hospitalization for severe cases, particularly in immunocompromised patients. Treatment typically involves antifungal therapy and supportive care.

Antibiotic Therapy:

• Itraconazole: 200 mg daily for 12 months
• Fluconazole: 400 mg daily as an alternative
• Amphotericin B: for severe cases, duration varies

Supportive Care:

• Oxygen therapy for hypoxemia
• Bronchodilators for wheezing
• Nutritional support and hydration

Infection Control:

• Use of masks in outbreak areas
• Avoidance of exposure to contaminated soil
• Education on prevention strategies

How to Document Symptoms of Chronic pulmonary histoplasmosis capsulati (ICD-10 B39.1) in SOAP Notes

Subjective:

• Patient reports chronic cough with sputum production.
• Experiences dyspnea, especially during physical activity.
• Notable fatigue and unintentional weight loss over the past month.
• History of exposure to areas with bird droppings.

Objective:

• Wheezing noted on auscultation.
• Respiratory rate: 22 breaths per minute.
• Oxygen saturation: 92% on room air.
• Chest X-ray shows reticulonodular opacities.

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SOAP Note Guidelines for Diagnosing Chronic pulmonary histoplasmosis capsulati (ICD-10 Code B39.1)

Assessment:

• Chronic pulmonary histoplasmosis capsulati, moderate severity.
• ICD-10 Code B39.1.
• Recent exposure to contaminated environments noted as a contributing factor.
• Consideration of immunocompromised status.

Plan:

• Initiate itraconazole therapy at 200 mg daily.
• Educate patient on recognizing worsening symptoms.
• Schedule follow-up in 4 weeks for reassessment.
• Monitor oxygen saturation and adjust therapy as needed.

Treatment & Plan Section for ICD-10 Code B39.1 – Chronic pulmonary histoplasmosis capsulati

• First-line pharmacologic treatment includes itraconazole.
• Non-pharmacologic strategies involve avoiding exposure to potential sources of infection.
• Monitoring includes regular follow-up visits and spirometry assessments.
• Patient education on symptom management and when to seek immediate care.

Using ICD-10 Code B39.1 for Chronic pulmonary histoplasmosis capsulati in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical findings and patient history.
• Document symptoms clearly under Subjective (S) and Objective (O) sections.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Chronic pulmonary histoplasmosis capsulati

• B39.0 – Acute pulmonary histoplasmosis capsulati
• B39.2 – Disseminated histoplasmosis

ICD-10 Code B39.1 in Medical Billing and Insurance for Chronic pulmonary histoplasmosis capsulati

ICD-10 Code B39.1 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Ensure accurate documentation of the patient's history and clinical findings.
• Use the code in conjunction with relevant clinical services to support claims.
• Highlight key chart elements such as diagnostic tests and treatment plans.
• Review payer-specific guidelines for coding and billing compliance.

Common CPT Pairings: