ICD-10 Code B53.0 | Plasmodium ovale malaria Symptoms, Diagnosis, Billing

Plasmodium ovale malaria is a type of malaria caused by the Plasmodium ovale parasite, primarily transmitted through the bite of infected Anopheles mosquitoes. It is clinically significant due to its potential to cause severe illness and complications if left untreated. Accurate coding with ICD-10 Code B53.0 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage malaria cases.

What is ICD-10 Code B53.0 for Plasmodium ovale malaria?

ICD-10 Code B53.0 specifically represents Plasmodium ovale malaria, a malaria infection caused by the Plasmodium ovale species. This code should be used in clinical documentation and billing when diagnosing patients with this specific type of malaria, ensuring accurate representation of the underlying disease and facilitating appropriate treatment and management.

ICD-10 Code B53.0 – Clinical Definition and Explanation of Plasmodium ovale malaria

Plasmodium ovale malaria is caused by the Plasmodium ovale parasite, which is transmitted through the bite of infected mosquitoes. The condition can lead to significant morbidity and requires prompt medical attention to prevent complications. Early diagnosis and treatment are crucial for effective management.

Key Clinical Features:

• Fever and chills
• Headache and muscle pain
• Fatigue and malaise
• Nausea and vomiting

ICD-10 Code B53.0 for Plasmodium ovale malaria – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B53.0 is utilized to document the diagnosis of Plasmodium ovale malaria, 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 B53.0 for Plasmodium ovale malaria Mean in SOAP Notes?

ICD-10 Code B53.0 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Plasmodium ovale malaria. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B53.0 – Plasmodium ovale malaria

Plasmodium ovale malaria requires prompt treatment to prevent severe complications. Hospitalization may be necessary for severe cases, and appropriate antimalarial therapy is critical.

Antibiotic Therapy:

• Chloroquine (first-line) for 3 days
• Primaquine (to prevent relapse) for 14 days
• Alternative: Mefloquine for 1 dose
• Alternative: Atovaquone-proguanil for 3 days

Supportive Care:

• Hydration and electrolyte management
• Antipyretics for fever control
• Monitoring for complications
• Nutritional support as needed

Infection Control:

• Vector control measures to prevent mosquito bites
• Isolation precautions in outbreak settings
• Education on malaria prevention for at-risk populations

How to Document Symptoms of Plasmodium ovale malaria (ICD-10 B53.0) in SOAP Notes

Subjective:

• Patient reports fever and chills
• Complaints of severe headache
• History of travel to endemic areas
• Nausea and vomiting noted

Objective:

• Temperature: 102°F
• Physical exam shows splenomegaly
• Blood smear positive for Plasmodium ovale
• Hemoglobin level: 10 g/dL

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SOAP Note Guidelines for Diagnosing Plasmodium ovale malaria (ICD-10 Code B53.0)

Assessment:

• Diagnosis: Plasmodium ovale malaria, moderate severity
• ICD-10 Code: B53.0
• Recent travel to endemic region identified as a trigger
• Symptoms consistent with malaria infection

Plan:

• Initiate chloroquine treatment for 3 days
• Prescribe primaquine for 14 days to prevent relapse
• Educate patient on malaria prevention
• Schedule follow-up in 1 week to monitor response

Treatment & Plan Section for ICD-10 Code B53.0 – Plasmodium ovale malaria

• First-line treatment with chloroquine and primaquine
• Patient education on malaria prevention strategies
• Monitoring for treatment efficacy and side effects
• Follow-up appointments to assess recovery and prevent relapse

Using ICD-10 Code B53.0 for Plasmodium ovale malaria in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history in SOAP notes
• Use B53.0 in conjunction with relevant CPT codes for billing
• Maintain compliance with clinical guidelines for treatment
• Document all patient interactions and treatment plans thoroughly

Related ICD-10 Codes Often Used with Plasmodium ovale malaria

• B53.1 – Plasmodium vivax malaria
• B53.8 – Other specified malaria

ICD-10 Code B53.0 in Medical Billing and Insurance for Plasmodium ovale malaria

ICD-10 Code B53.0 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant patient history and symptoms clearly
• Use B53.0 in appropriate clinical settings for accurate billing
• Ensure compliance with payer requirements for malaria coding
• Include detailed treatment plans in documentation

Common CPT Pairings: