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ICD-10 Code B52.9 | Plasmodium malariae malaria without complication Symptoms, Diagnosis, Billing

Plasmodium malariae malaria without complication is a parasitic infection caused by the Plasmodium malariae species, characterized by intermittent fever, chills, and flu-like symptoms. Accurate coding with ICD-10 Code B52.9 is essential for proper diagnosis, documentation, and billing, facilitating effective public health reporting and resource allocation.

What is ICD-10 Code B52.9 for Plasmodium malariae malaria without complication?

ICD-10 Code B52.9 represents Plasmodium malariae malaria without complication, indicating a malaria infection caused by the Plasmodium malariae parasite without any associated complications. This code is used in clinical documentation and billing when diagnosing patients with this specific form of malaria, ensuring accurate representation of the patient's condition.

ICD-10 Code B52.9 – Clinical Definition and Explanation of Plasmodium malariae malaria without complication

Plasmodium malariae malaria without complication is caused by the Plasmodium malariae parasite, transmitted through the bite of infected Anopheles mosquitoes. The condition can lead to significant morbidity if not treated promptly, necessitating medical attention to prevent progression and complications.

Key Clinical Features:

  • Intermittent fever and chills, typically occurring every 72 hours.
  • Flu-like symptoms including headache, fatigue, and muscle aches.
  • Potential for splenomegaly and anemia in chronic cases.
  • Epidemiological association with areas where Plasmodium malariae is endemic.

ICD-10 Code B52.9 for Plasmodium malariae malaria without complication – SOAP Notes & Clinical Use

ICD-10 Code B52.9 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans for Plasmodium malariae malaria without complication. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B52.9 for Plasmodium malariae malaria without complication Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B52.9 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Plasmodium malariae malaria without complication. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B52.9 – Plasmodium malariae malaria without complication

Prompt treatment of Plasmodium malariae malaria without complication is crucial to prevent severe illness. Hospitalization may be necessary for severe cases.

Antibiotic Therapy:

  • Chloroquine: First-line treatment, typically for 3 days.
  • Quinine: Alternative for severe cases, duration varies based on clinical response.
  • Mefloquine: Alternative option, duration based on clinical guidelines.

Supportive Care:

  • Hydration: Oral or intravenous fluids to prevent dehydration.
  • Antipyretics: For fever management, such as acetaminophen.
  • Monitoring: Regular assessment of vital signs and laboratory parameters.

Infection Control:

  • Vector control measures: Use of insecticide-treated bed nets.
  • Personal protective measures: Use of repellents and protective clothing.
  • Isolation: If necessary, to prevent spread during outbreaks.

How to Document Symptoms of Plasmodium malariae malaria without complication (ICD-10 B52.9) in SOAP Notes

Subjective:

  • Patient reports intermittent fever and chills for the past week.
  • Complains of fatigue and muscle aches.
  • History of travel to endemic areas within the last month.
  • Denies any recent hospitalizations or blood transfusions.

Objective:

  • Vital signs: Temperature 101°F, pulse 90 bpm, respiratory rate 18.
  • Physical exam: Mild splenomegaly noted.
  • Laboratory findings: Positive rapid diagnostic test for malaria.
  • Blood smear: Presence of Plasmodium malariae observed.
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SOAP Note Guidelines for Diagnosing Plasmodium malariae malaria without complication (ICD-10 Code B52.9)

Assessment:

  • Diagnosis: Plasmodium malariae malaria without complication.
  • ICD-10 Code: B52.9.
  • Severity: Mild to moderate based on clinical presentation.
  • Contributing factors: Recent travel to endemic region.

Plan:

  • Initiate chloroquine treatment for 3 days.
  • Educate patient on the importance of completing the medication course.
  • Monitor for any signs of complications or worsening symptoms.
  • Schedule follow-up appointment in one week to reassess.

Treatment & Plan Section for ICD-10 Code B52.9 – Plasmodium malariae malaria without complication

  • First-line pharmacologic treatment: Chloroquine for 3 days.
  • Non-pharmacologic strategies: Encourage hydration and rest.
  • Monitoring practices: Regular follow-up to assess treatment response.
  • Follow-up recommendations: Re-evaluate in one week or sooner if symptoms worsen.

Using ICD-10 Code B52.9 for Plasmodium malariae malaria without complication in Billing & SOAP Note Compliance

  • Select appropriate ICD-10 code based on confirmed diagnosis.
  • Document symptoms clearly under Subjective (S) and Objective (O) sections.
  • Ensure treatment plans align with clinical guidelines for justified billing.
  • Include relevant CPT codes for services rendered during the visit.

ICD-10 Code B52.9 in Medical Billing and Insurance for Plasmodium malariae malaria without complication

ICD-10 Code B52.9 is critical in medical billing for accurate representation of Plasmodium malariae malaria without complication, particularly in hospital and infectious disease settings.

Billing Notes:

  • Ensure documentation includes detailed patient history and clinical findings.
  • Use the code in settings where malaria diagnosis is confirmed.
  • Highlight key chart elements such as lab results and treatment plans.

Common CPT Pairings:

CPT CodeDescription
87430Infectious agent detection by nucleic acid (DNA or RNA); Plasmodium species.
85025Complete blood count with automated differential.
96372Therapeutic, prophylactic, or diagnostic injection.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B52.9 for Plasmodium malariae malaria without complication

What are the common symptoms of Plasmodium malariae malaria?

Common symptoms include intermittent fever, chills, fatigue, and muscle aches. Patients may also experience splenomegaly and anemia in chronic cases.

How is Plasmodium malariae malaria diagnosed?

Diagnosis is typically confirmed through laboratory tests, including blood smears and rapid diagnostic tests that detect the presence of the Plasmodium malariae parasite.

What is the treatment for Plasmodium malariae malaria?

First-line treatment includes chloroquine for three days. In cases of severe malaria, alternative treatments such as quinine may be used.

Is Plasmodium malariae malaria contagious?

Plasmodium malariae malaria is not contagious from person to person; it is transmitted through the bite of infected Anopheles mosquitoes.

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