ICD-10 Code B42.7 | Disseminated sporotrichosis Symptoms, Diagnosis, Billing

Disseminated sporotrichosis is a systemic fungal infection caused by the dimorphic fungus Sporothrix schenckii. It primarily affects immunocompromised individuals and can lead to severe complications if not diagnosed and treated promptly. The ICD-10 Code B42.7 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this condition.

What is ICD-10 Code B42.7 for Disseminated sporotrichosis?

ICD-10 Code B42.7 represents disseminated sporotrichosis, a severe form of sporadic fungal infection that spreads beyond the initial site of infection. This code should be used in clinical documentation and billing when a patient presents with systemic symptoms indicative of this condition, particularly in immunocompromised patients or those with a history of exposure to the fungus.

ICD-10 Code B42.7 – Clinical Definition and Explanation of Disseminated sporotrichosis

Disseminated sporotrichosis is caused by the fungus Sporothrix schenckii, which can enter the body through skin lesions or inhalation. The condition can progress rapidly, leading to systemic involvement, particularly in immunocompromised patients. Prompt medical attention is crucial to prevent severe complications.

Key Clinical Features:

• Systemic symptoms such as fever, weight loss, and fatigue.
• Skin lesions that may appear as nodules or ulcers.
• Respiratory symptoms if the lungs are involved.
• Potential for dissemination to bones, joints, and other organs.

ICD-10 Code B42.7 for Disseminated sporotrichosis – SOAP Notes & Clinical Use

ICD-10 Code B42.7 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management.

What Does ICD-10 Code B42.7 for Disseminated sporotrichosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B42.7 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of disseminated sporotrichosis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B42.7 – Disseminated sporotrichosis

Disseminated sporotrichosis requires urgent medical intervention, often necessitating hospitalization for severe cases. Treatment typically involves antifungal therapy and supportive care.

Antibiotic Therapy:

• Itraconazole: First-line treatment for at least 6 months.
• Amphotericin B: Alternative for severe cases or those not responding to itraconazole.

Supportive Care:

• Pain management and wound care for skin lesions.
• Nutritional support for patients with significant weight loss.
• Monitoring for potential complications.

Infection Control:

• Implement standard precautions to prevent transmission.
• Educate patients on hygiene practices to reduce infection risk.
• Isolate immunocompromised patients during outbreaks.

How to Document Symptoms of Disseminated sporotrichosis (ICD-10 B42.7) in SOAP Notes

Subjective:

• Patient reports fever and night sweats.
• History of skin lesions that have worsened over time.
• Complaints of fatigue and weight loss.
• Recent exposure to soil or vegetation.

Objective:

• Fever of 101°F on examination.
• Multiple skin nodules with ulceration noted.
• Respiratory rate of 22 breaths per minute.
• Chest X-ray shows possible pulmonary involvement.

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SOAP Note Guidelines for Diagnosing Disseminated sporotrichosis (ICD-10 Code B42.7)

Assessment:

• Disseminated sporotrichosis, moderate severity.
• ICD-10 Code B42.7 confirmed based on clinical presentation.
• Immunocompromised status noted as a contributing factor.

Plan:

• Initiate itraconazole therapy for 6 months.
• Schedule follow-up in 4 weeks to assess treatment response.
• Educate patient on signs of worsening infection.
• Consider referral to infectious disease specialist.

Treatment & Plan Section for ICD-10 Code B42.7 – Disseminated sporotrichosis

• First-line pharmacologic treatment with itraconazole.
• Monitor for side effects and treatment efficacy.
• Educate on lifestyle modifications to support recovery.
• Schedule regular follow-ups to track progress.

Using ICD-10 Code B42.7 for Disseminated sporotrichosis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use the code in appropriate clinical settings, including inpatient and outpatient care.
• Align treatment plans with clinical guidelines to support billing.
• Include relevant CPT codes for services rendered.

Related ICD-10 Codes Often Used with Disseminated sporotrichosis

• B42.0 – Cutaneous sporotrichosis
• B42.1 – Lymphocutaneous sporotrichosis
• B44.9 – Fungal infection, unspecified
• B20 – HIV disease

ICD-10 Code B42.7 in Medical Billing and Insurance for Disseminated sporotrichosis

ICD-10 Code B42.7 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services provided.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use the code in inpatient and outpatient settings as appropriate.
• Ensure compliance with payer guidelines for documentation.
• Include detailed notes on treatment plans and patient education.

Common CPT Pairings: