Actinomycetoma is a chronic, granulomatous infection caused by actinomycetes, primarily affecting the skin and subcutaneous tissues. It is clinically significant due to its potential to cause severe morbidity if left untreated. The ICD-10 Code B47.1 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 B47.1 for Actinomycetoma?
ICD-10 Code B47.1 specifically represents Actinomycetoma, a type of mycetoma caused by actinomycetes. This code should be used in clinical documentation and billing when diagnosing patients with this condition, which is characterized by chronic, localized infections that can lead to significant tissue destruction if not properly managed.
ICD-10 Code B47.1 – Clinical Definition and Explanation of Actinomycetoma
Actinomycetoma is primarily caused by the introduction of actinomycetes into the skin, often through minor trauma. The condition progresses slowly, leading to the formation of subcutaneous nodules and potential complications, necessitating prompt medical attention.
Key Clinical Features:
- Presence of painless, firm nodules on the skin or subcutaneous tissue.
- Development of sinus tracts that may discharge pus containing grains.
- Chronic course with potential for local tissue destruction.
- Commonly affects individuals in tropical and subtropical regions.
ICD-10 Code B47.1 for Actinomycetoma – SOAP Notes & Clinical Use
In SOAP notes, ICD-10 Code B47.1 is utilized to document the diagnosis of Actinomycetoma, 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 B47.1 for Actinomycetoma Mean in SOAP Notes?
ICD-10 Code B47.1 connects subjective patient reports and objective clinical findings to a formal diagnosis of Actinomycetoma. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code B47.1 – Actinomycetoma
Actinomycetoma requires timely intervention to prevent complications. Hospitalization may be necessary for severe cases, and appropriate antibiotic therapy is crucial.
Antibiotic Therapy:
- First-line: Trimethoprim-sulfamethoxazole (TMP-SMX) for 6-12 months.
- Alternative: Doxycycline or amoxicillin-clavulanate for 6-12 months.
- Consideration of surgical intervention in severe cases.
Supportive Care:
- Pain management with analgesics.
- Wound care to prevent secondary infections.
- Nutritional support to enhance healing.
Infection Control:
- Strict hygiene practices to prevent spread.
- Isolation of infected individuals if necessary.
- Education on avoiding trauma in endemic areas.
How to Document Symptoms of Actinomycetoma (ICD-10 B47.1) in SOAP Notes
Subjective:
- Patient reports painless nodules on the lower extremities.
- History of minor trauma to the affected area.
- Discharge of pus from nodules noted by the patient.
- Symptoms have persisted for several months.
Objective:
- Physical examination reveals multiple firm nodules.
- Sinus tracts with purulent discharge observed.
- No systemic signs of infection (e.g., fever, malaise).
- Vital signs stable with no abnormalities.
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SOAP Note Guidelines for Diagnosing Actinomycetoma (ICD-10 Code B47.1)
Assessment:
- Diagnosis: Actinomycetoma, localized infection.
- Severity: Moderate, with potential for tissue destruction.
- ICD-10 Code: B47.1.
- Contributing factors: History of trauma and exposure in endemic region.
Plan:
- Initiate antibiotic therapy with TMP-SMX.
- Educate patient on wound care and hygiene.
- Schedule follow-up in 4-6 weeks to assess treatment response.
- Consider referral to a specialist if no improvement.
Treatment & Plan Section for ICD-10 Code B47.1 – Actinomycetoma
- First-line pharmacologic treatment with TMP-SMX.
- Non-pharmacologic strategies include proper wound care.
- Monitoring for treatment response through follow-up visits.
- Patient education on prevention and hygiene practices.
Using ICD-10 Code B47.1 for Actinomycetoma in Billing & SOAP Note Compliance
- Select appropriate ICD-10 code based on clinical findings.
- Document symptoms clearly under Subjective (S) and Objective (O).
- Ensure treatment plans align with clinical guidelines for justified billing.
- Use CPT codes that correspond to the services provided.
Related ICD-10 Codes Often Used with Actinomycetoma
- B47.0 – Actinomycetoma, unspecified
- B47.9 – Mycetoma, unspecified
- A32.81 – Listeriosis
- A49.9 – Bacterial infection, unspecified
ICD-10 Code B47.1 in Medical Billing and Insurance for Actinomycetoma
ICD-10 Code B47.1 is essential for accurate billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant clinical findings to support the diagnosis.
- Use the code in conjunction with appropriate CPT codes for services rendered.
- Ensure compliance with payer requirements for documentation.
- Review coding guidelines regularly to stay updated.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, low complexity. |
| 10060 | Incision and drainage of abscess, simple. |
| 36415 | Collection of venous blood by venipuncture. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code B47.1 for Actinomycetoma
What are the common symptoms of Actinomycetoma?
Common symptoms include painless nodules on the skin, discharge of pus, and the formation of sinus tracts. These symptoms can persist for months and may lead to tissue destruction if untreated.
Is Actinomycetoma contagious?
Actinomycetoma is not contagious; it is typically acquired through traumatic skin injuries in endemic areas where the causative organisms are present in the environment.
What is the typical treatment for Actinomycetoma?
Treatment usually involves long-term antibiotic therapy, such as trimethoprim-sulfamethoxazole, and may require surgical intervention in severe cases to remove infected tissue.
How is Actinomycetoma diagnosed?
Diagnosis is based on clinical examination, patient history, and laboratory tests, including culture of the organism from the discharge or tissue samples.
