ICD-10 Code B58.00 | Toxoplasma oculopathy, unspecified Symptoms, Diagnosis, Billing

Toxoplasma oculopathy, unspecified, is an ocular manifestation of Toxoplasma gondii infection, which can lead to significant visual impairment. Accurate coding with ICD-10 Code B58.00 is essential for proper diagnosis, documentation, and billing, ensuring appropriate treatment and public health reporting.

What is ICD-10 Code B58.00 for Toxoplasma oculopathy, unspecified?

ICD-10 Code B58.00 represents Toxoplasma oculopathy, unspecified, a condition characterized by ocular inflammation due to Toxoplasma gondii infection. This code is used when the specific ocular manifestations are not detailed, facilitating accurate clinical documentation and billing for patients presenting with this condition.

ICD-10 Code B58.00 – Clinical Definition and Explanation of Toxoplasma oculopathy, unspecified

Toxoplasma oculopathy, unspecified, is caused by the reactivation of latent Toxoplasma gondii infection, often in immunocompromised individuals. The condition can lead to severe visual complications and requires prompt medical attention.

Key Clinical Features:

• Unilateral or bilateral vision changes
• Retinal lesions or scarring observed on examination
• Possible associated symptoms such as floaters or photophobia
• History of immunosuppression or recent infection

ICD-10 Code B58.00 for Toxoplasma oculopathy, unspecified – SOAP Notes & Clinical Use

ICD-10 Code B58.00 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to Toxoplasma oculopathy. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B58.00 for Toxoplasma oculopathy, unspecified Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B58.00 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Toxoplasma oculopathy, ensuring continuity of care and supporting accurate billing.

Treatment Options for ICD-10 Code B58.00 – Toxoplasma oculopathy, unspecified

Toxoplasma oculopathy requires prompt treatment to prevent vision loss. Hospitalization may be necessary for severe cases.

Antibiotic Therapy:

• Pyrimethamine and sulfadiazine for first-line treatment, typically for 4-6 weeks
• Clindamycin as an alternative for patients allergic to sulfa drugs
• Consideration of corticosteroids for severe inflammation

Supportive Care:

• Regular ophthalmologic evaluations to monitor disease progression
• Management of symptoms such as pain or discomfort
• Patient education on the importance of adherence to treatment

Infection Control:

• Standard precautions to prevent transmission in healthcare settings
• Education on avoiding exposure to cat feces and undercooked meat
• Monitoring for outbreaks in immunocompromised populations

How to Document Symptoms of Toxoplasma oculopathy, unspecified (ICD-10 B58.00) in SOAP Notes

Subjective:

• Patient reports blurred vision in one eye
• History of recent flu-like symptoms
• Complaints of floaters and light sensitivity
• Known exposure to cats or undercooked meat

Objective:

• Visual acuity testing shows decreased vision in affected eye
• Fundoscopic examination reveals retinal lesions
• Intraocular pressure within normal limits
• No signs of acute inflammation in other ocular structures

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

SOAP Note Guidelines for Diagnosing Toxoplasma oculopathy, unspecified (ICD-10 Code B58.00)

Assessment:

• Diagnosis: Toxoplasma oculopathy, unspecified, moderate severity
• ICD-10 Code: B58.00
• Contributing factors: Immunocompromised status, recent infection
• Potential triggers: Exposure to Toxoplasma gondii

Plan:

• Initiate treatment with pyrimethamine and sulfadiazine
• Schedule follow-up ophthalmology appointment in 1 month
• Educate patient on medication adherence and symptom monitoring
• Consider referral to infectious disease specialist if no improvement

Treatment & Plan Section for ICD-10 Code B58.00 – Toxoplasma oculopathy, unspecified

• First-line pharmacologic treatment includes pyrimethamine and sulfadiazine.
• Non-pharmacologic strategies involve patient education on infection prevention.
• Monitoring includes regular visual acuity assessments and retinal examinations.
• Follow-up practices should be scheduled to evaluate treatment efficacy.

Using ICD-10 Code B58.00 for Toxoplasma oculopathy, unspecified in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use the code in settings where Toxoplasma oculopathy is diagnosed or treated.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Toxoplasma oculopathy, unspecified

• B58.01 – Toxoplasma oculopathy, right eye
• B58.9 – Toxoplasmosis, unspecified

ICD-10 Code B58.00 in Medical Billing and Insurance for Toxoplasma oculopathy, unspecified

ICD-10 Code B58.00 is critical for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings and treatment plans to support the claim.
• Use the code in conjunction with detailed patient history and examination results.
• Ensure compliance with payer requirements for documentation and coding.
• Review coding guidelines to avoid denials related to insufficient documentation.

Common CPT Pairings: