ICD-10 Code B58.3 | Pulmonary toxoplasmosis Symptoms, Diagnosis, Billing

Pulmonary toxoplasmosis is an opportunistic infection caused by the parasite Toxoplasma gondii, primarily affecting immunocompromised individuals. It can lead to severe respiratory symptoms and complications. Accurate coding with ICD-10 Code B58.3 is essential for proper diagnosis, documentation, billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code B58.3 for Pulmonary toxoplasmosis?

ICD-10 Code B58.3 specifically denotes pulmonary toxoplasmosis, a condition resulting from the reactivation of Toxoplasma gondii infection in individuals with weakened immune systems. This code should be used in clinical documentation and billing when a patient presents with respiratory symptoms linked to this parasitic infection, ensuring accurate representation of the patient's condition for treatment and reimbursement purposes.

ICD-10 Code B58.3 – Clinical Definition and Explanation of Pulmonary toxoplasmosis

Pulmonary toxoplasmosis is primarily caused by the reactivation of latent Toxoplasma gondii infection, particularly in immunocompromised patients, such as those with HIV/AIDS or undergoing immunosuppressive therapy. The condition can progress rapidly, leading to significant respiratory distress and necessitating prompt medical intervention.

Key Clinical Features:

• Cough, often dry or productive
• Fever and chills
• Dyspnea or difficulty breathing
• Chest pain or discomfort
• Radiological findings of pulmonary infiltrates

ICD-10 Code B58.3 for Pulmonary toxoplasmosis – SOAP Notes & Clinical Use

ICD-10 Code B58.3 is utilized in SOAP notes to document the presence of pulmonary toxoplasmosis, 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 B58.3 for Pulmonary toxoplasmosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B58.3 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of pulmonary toxoplasmosis. This linkage is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B58.3 – Pulmonary toxoplasmosis

Pulmonary toxoplasmosis often requires urgent medical attention and may necessitate hospitalization for effective management.

Antibiotic Therapy:

• Pyrimethamine and sulfadiazine for 6 weeks
• Clindamycin as an alternative for 6 weeks
• Trimethoprim-sulfamethoxazole for 6 weeks

Supportive Care:

• Oxygen therapy for hypoxemia
• Bronchodilators for wheezing
• Fluid management to prevent dehydration

Infection Control:

• Standard precautions to prevent transmission
• Isolation of immunocompromised patients if necessary
• Education on avoiding exposure to cat feces and undercooked meat

How to Document Symptoms of Pulmonary toxoplasmosis (ICD-10 B58.3) in SOAP Notes

Subjective:

• Patient reports persistent cough for 2 weeks
• Experiencing fever and chills intermittently
• Reports increased shortness of breath with exertion
• History of recent immunosuppressive therapy

Objective:

• Auscultation reveals bilateral crackles
• Respiratory rate of 24 breaths per minute
• Oxygen saturation at 88% on room air
• Chest X-ray shows bilateral infiltrates

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SOAP Note Guidelines for Diagnosing Pulmonary toxoplasmosis (ICD-10 Code B58.3)

Assessment:

• Diagnosis: Pulmonary toxoplasmosis, moderate severity
• ICD-10 Code: B58.3
• Contributing factors: Immunocompromised status due to HIV
• Recent exposure to Toxoplasma gondii

Plan:

• Initiate treatment with pyrimethamine and sulfadiazine
• Provide education on infection prevention
• Monitor oxygen saturation and respiratory status
• Schedule follow-up in one week to reassess symptoms

Treatment & Plan Section for ICD-10 Code B58.3 – Pulmonary toxoplasmosis

• First-line treatment includes pyrimethamine and sulfadiazine.
• Consider clindamycin for patients with sulfa allergies.
• Monitor respiratory function and adjust treatment as needed.
• Educate patients on avoiding exposure to potential sources of Toxoplasma.

Using ICD-10 Code B58.3 for Pulmonary toxoplasmosis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use B58.3 in settings involving acute care or infectious disease management.
• Align treatment plans with clinical guidelines for justified billing.
• Document any relevant comorbidities that may affect treatment.

Related ICD-10 Codes Often Used with Pulmonary toxoplasmosis

• B58.1 – Toxoplasmosis of central nervous system
• B58.2 – Toxoplasmosis of other organs
• B20 – HIV disease

ICD-10 Code B58.3 in Medical Billing and Insurance for Pulmonary toxoplasmosis

ICD-10 Code B58.3 is critical in billing for hospitalizations and outpatient visits related to pulmonary toxoplasmosis.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use B58.3 in emergency department visits for acute respiratory symptoms.
• Ensure compliance with payer requirements for documentation.
• Include any associated conditions that may affect treatment.

Common CPT Pairings: