Toxoplasma hepatitis is an inflammation of the liver caused by the Toxoplasma gondii parasite. This condition is clinically significant as it can lead to severe liver dysfunction, particularly in immunocompromised individuals. Accurate coding with ICD-10 Code B58.1 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 B58.1 for Toxoplasma hepatitis?
ICD-10 Code B58.1 represents Toxoplasma hepatitis, a liver inflammation resulting from infection with Toxoplasma gondii. This code should be used when documenting cases of hepatitis linked to this parasitic infection, particularly in patients with compromised immune systems or those presenting with liver-related symptoms.
ICD-10 Code B58.1 – Clinical Definition and Explanation of Toxoplasma hepatitis
Toxoplasma hepatitis is caused by the Toxoplasma gondii parasite, which can lead to acute liver inflammation. The condition often requires medical attention due to the potential for severe complications, especially in immunocompromised patients. Early diagnosis and treatment are crucial for effective management.
Key Clinical Features:
- Elevated liver enzymes (ALT, AST)
- Jaundice
- Fatigue and malaise
- Abdominal pain
- History of immunosuppression or recent exposure to Toxoplasma
ICD-10 Code B58.1 for Toxoplasma hepatitis – SOAP Notes & Clinical Use
In SOAP notes, ICD-10 Code B58.1 is utilized to document the diagnosis of Toxoplasma hepatitis, 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 B58.1 for Toxoplasma hepatitis Mean in SOAP Notes?
ICD-10 Code B58.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Toxoplasma hepatitis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code B58.1 – Toxoplasma hepatitis
Toxoplasma hepatitis may necessitate hospitalization, particularly in severe cases. Treatment typically involves specific antibiotic therapy to combat the infection.
Antibiotic Therapy:
- Pyrimethamine and sulfadiazine (first-line, 6 weeks)
- Clindamycin (alternative, 6 weeks)
- Trimethoprim-sulfamethoxazole (alternative, 6 weeks)
Supportive Care:
- Hydration and electrolyte management
- Monitoring liver function tests
- Symptomatic treatment for pain and fever
Infection Control:
- Standard precautions to prevent transmission
- Isolation of immunocompromised patients if necessary
- Education on hygiene practices
How to Document Symptoms of Toxoplasma hepatitis (ICD-10 B58.1) in SOAP Notes
Subjective:
- Patient reports fatigue and jaundice
- History of recent immunosuppression
- Complaints of abdominal pain
- Nausea and loss of appetite
Objective:
- Elevated liver enzymes (ALT, AST)
- Jaundice observed on physical examination
- Abdominal tenderness on palpation
- Fever noted during assessment
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 hepatitis (ICD-10 Code B58.1)
Assessment:
- Diagnosis: Toxoplasma hepatitis, moderate severity
- ICD-10 Code: B58.1
- Contributing factors: Immunocompromised state, recent exposure to Toxoplasma
Plan:
- Initiate treatment with pyrimethamine and sulfadiazine
- Monitor liver function tests weekly
- Educate patient on infection control measures
- Schedule follow-up in 2 weeks to reassess symptoms
Treatment & Plan Section for ICD-10 Code B58.1 – Toxoplasma hepatitis
- First-line pharmacologic treatment includes pyrimethamine and sulfadiazine.
- Non-pharmacologic strategies involve hydration and nutritional support.
- Monitoring liver function tests is essential for assessing treatment efficacy.
- Follow-up appointments should be scheduled to evaluate patient progress.
Using ICD-10 Code B58.1 for Toxoplasma hepatitis in Billing & SOAP Note Compliance
- Select appropriate ICD-10 code based on clinical findings and documentation.
- Ensure subjective and objective findings are clearly documented in SOAP notes.
- Align treatment plans with clinical guidelines to support justified billing.
- Include relevant CPT codes that correspond with the services provided.
Related ICD-10 Codes Often Used with Toxoplasma hepatitis
- B58.9 – Toxoplasmosis, unspecified
- B15.9 – Viral hepatitis A, unspecified
- B19.10 – Unspecified viral hepatitis
ICD-10 Code B58.1 in Medical Billing and Insurance for Toxoplasma hepatitis
ICD-10 Code B58.1 is critical for 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 that the patient's history and symptoms are clearly outlined in the medical record.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99223 | Initial hospital care, typically 70 minutes or more of total time spent on the date of the encounter. |
| 36415 | Collection of venous blood by venipuncture. |
| 80076 | Hepatic function panel, including liver enzymes and bilirubin. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code B58.1 for Toxoplasma hepatitis
What are the common symptoms of Toxoplasma hepatitis?
Common symptoms include fatigue, jaundice, abdominal pain, and elevated liver enzymes. Patients may also experience nausea and loss of appetite, particularly in immunocompromised individuals.
How is Toxoplasma hepatitis diagnosed?
Diagnosis is typically made through clinical evaluation, serological testing for Toxoplasma antibodies, and liver function tests to assess liver inflammation.
What is the treatment for Toxoplasma hepatitis?
Treatment usually involves antibiotics such as pyrimethamine and sulfadiazine, along with supportive care to manage symptoms and monitor liver function.
Is Toxoplasma hepatitis contagious?
Toxoplasma hepatitis is not directly contagious; however, the Toxoplasma gondii parasite can be transmitted through contaminated food, water, or contact with infected cat feces.
