ICD-10 Code B45.7 | Disseminated cryptococcosis Symptoms, Diagnosis, Billing

Disseminated cryptococcosis is a severe fungal infection caused by the organism Cryptococcus neoformans, primarily affecting immunocompromised individuals. This condition can lead to systemic illness, including meningitis and pneumonia. Accurate coding with ICD-10 Code B45.7 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 B45.7 for Disseminated cryptococcosis?

ICD-10 Code B45.7 represents disseminated cryptococcosis, a serious fungal infection that spreads beyond the lungs to other parts of the body, particularly in immunocompromised patients. This code should be used when documenting cases of cryptococcosis that have progressed to systemic involvement, ensuring accurate billing and clinical documentation for appropriate treatment and management.

ICD-10 Code B45.7 – Clinical Definition and Explanation of Disseminated cryptococcosis

Disseminated cryptococcosis is primarily caused by the inhalation of Cryptococcus neoformans spores, leading to a systemic infection that can affect various organs, particularly in individuals with weakened immune systems. Prompt medical attention is crucial to prevent severe complications such as meningitis and respiratory failure.

Key Clinical Features:

• Commonly presents with respiratory symptoms, fever, and neurological signs.
• Often occurs in patients with HIV/AIDS, organ transplant recipients, or those on immunosuppressive therapy.
• Can lead to significant morbidity and mortality if not treated promptly.
• Diagnosis typically involves serological tests and imaging studies.

ICD-10 Code B45.7 for Disseminated cryptococcosis – SOAP Notes & Clinical Use

ICD-10 Code B45.7 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of disseminated cryptococcosis. This code aids in capturing the severity and extent of the disease, facilitating appropriate management in both acute and chronic care settings.

What Does ICD-10 Code B45.7 for Disseminated cryptococcosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B45.7 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of disseminated cryptococcosis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B45.7 – Disseminated cryptococcosis

Disseminated cryptococcosis requires urgent medical intervention, often necessitating hospitalization for effective management.

Antibiotic Therapy:

• First-line: Amphotericin B (4-6 weeks) followed by fluconazole (6-12 months).
• Alternative: Voriconazole or itraconazole may be considered in specific cases.
• Consider dose adjustments based on renal function and drug interactions.

Supportive Care:

• Monitor vital signs and oxygen saturation closely.
• Provide intravenous fluids and electrolyte management as needed.
• Manage symptoms such as fever and pain with appropriate analgesics.

Infection Control:

• Implement standard precautions to prevent transmission.
• Educate healthcare staff on handling immunocompromised patients.
• Consider isolation protocols during outbreaks.

How to Document Symptoms of Disseminated cryptococcosis (ICD-10 B45.7) in SOAP Notes

Subjective:

• Patient reports persistent cough and shortness of breath.
• History of fever and night sweats for the past week.
• Complaints of severe headache and confusion.

Objective:

• Fever of 101°F, respiratory rate of 22 breaths/min.
• Oxygen saturation at 88% on room air.
• Chest X-ray shows bilateral infiltrates.

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SOAP Note Guidelines for Diagnosing Disseminated cryptococcosis (ICD-10 Code B45.7)

Assessment:

• Diagnosis: Disseminated cryptococcosis, severe.
• ICD-10 Code: B45.7.
• Contributing factors: Immunocompromised status due to HIV.

Plan:

• Initiate treatment with Amphotericin B and fluconazole.
• Educate patient on the importance of adherence to antifungal therapy.
• Schedule follow-up in one week to monitor response to treatment.

Treatment & Plan Section for ICD-10 Code B45.7 – Disseminated cryptococcosis

• Administer antifungal therapy as per established guidelines.
• Provide patient education on medication adherence and potential side effects.
• Monitor for clinical improvement and adjust treatment as necessary.
• Schedule regular follow-up appointments to assess treatment efficacy.

Using ICD-10 Code B45.7 for Disseminated cryptococcosis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use B45.7 for all cases of disseminated cryptococcosis to support billing.
• Align treatment plans with clinical guidelines to justify billing.
• Document any complications or comorbidities that may affect treatment.

Related ICD-10 Codes Often Used with Disseminated cryptococcosis

• B45.0 – Cryptococcal meningitis
• B45.1 – Cryptococcosis, pulmonary
• B45.2 – Cryptococcosis, cutaneous
• B45.3 – Cryptococcosis, disseminated, unspecified

ICD-10 Code B45.7 in Medical Billing and Insurance for Disseminated cryptococcosis

ICD-10 Code B45.7 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the use of B45.7.
• Ensure that the diagnosis aligns with the treatment provided for accurate billing.
• Use this code in conjunction with other relevant codes for comprehensive billing.

Common CPT Pairings: