ICD-10 Code B58.2 | Toxoplasma meningoencephalitis Symptoms, Diagnosis, Billing

Toxoplasma meningoencephalitis is a severe neurological condition caused by the Toxoplasma gondii parasite, primarily affecting immunocompromised individuals, such as those with HIV/AIDS. It is characterized by inflammation of the brain and meninges, leading to significant morbidity and potential mortality. Accurate coding with ICD-10 Code B58.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this critical condition.

What is ICD-10 Code B58.2 for Toxoplasma meningoencephalitis?

ICD-10 Code B58.2 specifically denotes Toxoplasma meningoencephalitis, a serious complication of Toxoplasma infection. This code is utilized when documenting cases of meningoencephalitis resulting from Toxoplasma gondii, particularly in patients with weakened immune systems. It is crucial for accurate clinical documentation and billing, ensuring that healthcare providers can appropriately address the complexities of this condition.

ICD-10 Code B58.2 – Clinical Definition and Explanation of Toxoplasma meningoencephalitis

Toxoplasma meningoencephalitis is primarily caused by the reactivation of latent Toxoplasma gondii infection in immunocompromised patients, leading to severe neurological symptoms. The condition progresses rapidly and requires immediate medical intervention to prevent serious complications or death.

Key Clinical Features:

• Fever, headache, and altered mental status are common presenting symptoms.
• Neurological deficits may include seizures, confusion, and focal neurological signs.
• Imaging studies often reveal lesions in the brain, typically seen on CT or MRI.
• Patients may have a history of immunosuppression, such as HIV/AIDS or organ transplantation.

ICD-10 Code B58.2 for Toxoplasma meningoencephalitis – SOAP Notes & Clinical Use

ICD-10 Code B58.2 is integral in SOAP notes for documenting the clinical presentation, assessment, and treatment of Toxoplasma meningoencephalitis. It aids in capturing the severity of symptoms and the patient's overall condition, relevant in both acute and chronic care settings.

What Does ICD-10 Code B58.2 for Toxoplasma meningoencephalitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B58.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Toxoplasma meningoencephalitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B58.2 – Toxoplasma meningoencephalitis

Toxoplasma meningoencephalitis is a medical emergency requiring prompt treatment and often hospitalization. Effective management includes specific antibiotic therapy and supportive care.

Antibiotic Therapy:

• Pyrimethamine combined with sulfadiazine for 6 weeks or longer.
• Clindamycin as an alternative for patients allergic to sulfa drugs.
• Consideration of leucovorin to mitigate bone marrow suppression.

Supportive Care:

• Management of symptoms such as fever and seizures.
• Hydration and nutritional support as needed.
• Monitoring for complications such as increased intracranial pressure.

Infection Control:

• Standard precautions to prevent transmission in healthcare settings.
• Education on avoiding exposure to cat feces and undercooked meat.
• Consideration of isolation protocols in immunocompromised patients.

How to Document Symptoms of Toxoplasma meningoencephalitis (ICD-10 B58.2) in SOAP Notes

Subjective:

• Patient reports severe headache and confusion.
• History of recent fever and seizures.
• Known HIV-positive status with low CD4 count.
• Complaints of visual disturbances.

Objective:

• Vital signs: fever 101°F, tachycardia.
• Neurological exam shows altered mental status.
• CT scan reveals multiple ring-enhancing lesions.
• Laboratory tests indicate elevated lactate dehydrogenase.

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SOAP Note Guidelines for Diagnosing Toxoplasma meningoencephalitis (ICD-10 Code B58.2)

Assessment:

• Diagnosis: Toxoplasma meningoencephalitis, severe.
• ICD-10 Code: B58.2.
• Contributing factors: Immunocompromised state due to HIV.
• Consideration of differential diagnoses such as CNS lymphoma.

Plan:

• Initiate treatment with pyrimethamine and sulfadiazine.
• Monitor neurological status and vital signs closely.
• Educate patient on the importance of adherence to therapy.
• Schedule follow-up imaging to assess treatment response.

Treatment & Plan Section for ICD-10 Code B58.2 – Toxoplasma meningoencephalitis

• First-line treatment includes pyrimethamine and sulfadiazine.
• Consider alternative regimens for patients with allergies.
• Regular monitoring of blood counts and liver function tests.
• Patient education on medication adherence and symptom monitoring.

Using ICD-10 Code B58.2 for Toxoplasma meningoencephalitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use B58.2 in settings involving acute care and infectious disease management.
• Align treatment plans with clinical guidelines for justified billing.
• Include relevant CPT codes that correspond to diagnostic and therapeutic services.

Related ICD-10 Codes Often Used with Toxoplasma meningoencephalitis

• B58.1 – Toxoplasma retinochoroiditis
• B20 – HIV disease
• A49.9 – Bacterial infection, unspecified

ICD-10 Code B58.2 in Medical Billing and Insurance for Toxoplasma meningoencephalitis

ICD-10 Code B58.2 is critical for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings to support the use of B58.2.
• Utilize this code in acute care settings for appropriate reimbursement.
• Ensure that treatment plans are clearly outlined in the medical record.
• Include patient history and risk factors to justify the diagnosis.

Common CPT Pairings: