ICD-10 Code B58.83 | Toxoplasma tubulo-interstitial nephropathy Symptoms, Diagnosis, Billing

Toxoplasma tubulo-interstitial nephropathy is a renal condition caused by the Toxoplasma gondii parasite, leading to inflammation of the renal tubules and interstitium. This condition is clinically significant as it can result in acute kidney injury and chronic renal impairment. Accurate coding with ICD-10 Code B58.83 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage this infectious disease effectively.

What is ICD-10 Code B58.83 for Toxoplasma tubulo-interstitial nephropathy?

ICD-10 Code B58.83 represents Toxoplasma tubulo-interstitial nephropathy, a renal complication arising from Toxoplasma gondii infection. This code should be used when documenting cases of nephropathy associated with Toxoplasmosis, particularly in patients with compromised immune systems. It is crucial for accurate clinical documentation and billing, ensuring that healthcare providers can effectively manage and treat this condition.

ICD-10 Code B58.83 – Clinical Definition and Explanation of Toxoplasma tubulo-interstitial nephropathy

Toxoplasma tubulo-interstitial nephropathy is primarily caused by the Toxoplasma gondii parasite, which can lead to significant renal damage, particularly in immunocompromised individuals. The condition can progress rapidly, necessitating prompt medical intervention to prevent severe complications such as acute kidney injury.

Key Clinical Features:

• Acute renal failure symptoms, including oliguria or anuria.
• Flank pain and abdominal discomfort.
• Elevated serum creatinine and blood urea nitrogen (BUN) levels.
• Possible fever and systemic symptoms indicating infection.

ICD-10 Code B58.83 for Toxoplasma tubulo-interstitial nephropathy – SOAP Notes & Clinical Use

ICD-10 Code B58.83 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of Toxoplasma tubulo-interstitial nephropathy. This code aids in capturing the patient's symptoms and the healthcare provider's evaluation, ensuring comprehensive care in both acute and chronic settings.

What Does ICD-10 Code B58.83 for Toxoplasma tubulo-interstitial nephropathy Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B58.83 connects subjective patient-reported symptoms with objective clinical findings, facilitating a formal diagnosis of Toxoplasma tubulo-interstitial nephropathy. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B58.83 – Toxoplasma tubulo-interstitial nephropathy

Toxoplasma tubulo-interstitial nephropathy requires urgent medical attention, often necessitating hospitalization for effective management.

Antibiotic Therapy:

• Pyrimethamine and sulfadiazine for primary treatment, typically for 4-6 weeks.
• Clindamycin as an alternative for patients with sulfa allergies.
• Leucovorin may be added to mitigate bone marrow suppression.

Supportive Care:

• Hydration and electrolyte management to support renal function.
• Monitoring renal function and adjusting medications as necessary.
• Symptomatic treatment for pain and fever.

Infection Control:

• Implement standard precautions to prevent transmission.
• Educate patients on avoiding undercooked meat and contaminated water.
• Consider isolation protocols in cases of severe immunocompromise.

How to Document Symptoms of Toxoplasma tubulo-interstitial nephropathy (ICD-10 B58.83) in SOAP Notes

Subjective:

• Patient reports decreased urine output over the past few days.
• Complaints of flank pain and general malaise.
• History of recent exposure to Toxoplasma through undercooked meat.
• Fever and chills noted by the patient.

Objective:

• Vital signs: elevated blood pressure and tachycardia.
• Physical exam reveals tenderness in the flank region.
• Laboratory results show elevated creatinine and BUN levels.
• Urinalysis indicates proteinuria and hematuria.

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SOAP Note Guidelines for Diagnosing Toxoplasma tubulo-interstitial nephropathy (ICD-10 Code B58.83)

Assessment:

• Diagnosis: Toxoplasma tubulo-interstitial nephropathy, moderate severity.
• ICD-10 Code: B58.83.
• Contributing factors: recent Toxoplasma exposure and immunocompromised status.
• Consider differential diagnoses such as acute interstitial nephritis.

Plan:

• Initiate antibiotic therapy with pyrimethamine and sulfadiazine.
• Monitor renal function closely with daily labs.
• Educate the patient on dietary precautions and infection control.
• Schedule follow-up in one week to reassess renal function and symptoms.

Treatment & Plan Section for ICD-10 Code B58.83 – Toxoplasma tubulo-interstitial nephropathy

• First-line pharmacologic treatment includes pyrimethamine and sulfadiazine.
• Non-pharmacologic strategies involve hydration and dietary modifications.
• Regular monitoring of renal function and electrolytes is essential.
• Follow-up appointments should be scheduled to evaluate treatment efficacy.

Using ICD-10 Code B58.83 for Toxoplasma tubulo-interstitial nephropathy in Billing & SOAP Note Compliance

• Select appropriate ICD-10 codes based on clinical findings and severity.
• Document all symptoms clearly in the Subjective (S) and Objective (O) sections.
• Ensure treatment plans align 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 tubulo-interstitial nephropathy

• B58.1 – Toxoplasma retinochoroiditis
• B58.9 – Toxoplasmosis, unspecified

ICD-10 Code B58.83 in Medical Billing and Insurance for Toxoplasma tubulo-interstitial nephropathy

ICD-10 Code B58.83 is critical for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes all relevant clinical findings to support the ICD-10 claim.
• Use this code in conjunction with appropriate CPT codes for comprehensive billing.
• Document the patient's history of exposure to Toxoplasma to justify the diagnosis.

Common CPT Pairings: