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ICD-10 Code B66.2 | Dicroceliasis Symptoms, Diagnosis, Billing

Dicroceliasis is an infection caused by the trematode parasite Dicrocoelium dendriticum, primarily affecting the liver of various mammals, including humans. This condition is clinically significant due to its potential to cause liver dysfunction and associated complications. Accurate coding with ICD-10 Code B66.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage cases effectively.

What is ICD-10 Code B66.2 for Dicroceliasis?

ICD-10 Code B66.2 specifically denotes Dicroceliasis, an infection resulting from the Dicrocoelium dendriticum parasite. This code should be utilized in clinical documentation and billing when diagnosing patients with this condition, particularly when symptoms such as abdominal pain, jaundice, or liver dysfunction are present. Proper use of this code facilitates accurate medical billing and supports epidemiological tracking of the disease.

ICD-10 Code B66.2 – Clinical Definition and Explanation of Dicroceliasis

Dicroceliasis is caused by the ingestion of the larvae of Dicrocoelium dendriticum, typically through contaminated food or water. The infection can lead to significant liver damage and requires prompt medical attention to prevent complications. Early diagnosis and treatment are crucial for effective management.

Key Clinical Features:

  • Abdominal pain and discomfort
  • Jaundice indicating liver involvement
  • Nausea and vomiting
  • Elevated liver enzymes on laboratory tests

ICD-10 Code B66.2 for Dicroceliasis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B66.2 is utilized to document the diagnosis of Dicroceliasis, 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 B66.2 for Dicroceliasis Mean in SOAP Notes?

ICD-10 Code B66.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Dicroceliasis. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B66.2 – Dicroceliasis

Dicroceliasis may require hospitalization, especially in severe cases. Treatment typically involves antiparasitic medications and supportive care.

Antibiotic Therapy:

  • Praziquantel: 25 mg/kg orally, single dose
  • Albendazole: 400 mg orally, twice daily for 3 days
  • Alternative: Nitazoxanide: 500 mg orally, twice daily for 3 days

Supportive Care:

  • Hydration and electrolyte management
  • Nutritional support as needed
  • Monitoring liver function tests

Infection Control:

  • Educate patients on hygiene practices
  • Avoid consumption of contaminated food and water
  • Implement measures to prevent outbreaks in endemic areas

How to Document Symptoms of Dicroceliasis (ICD-10 B66.2) in SOAP Notes

Subjective:

  • Patient reports abdominal pain and discomfort.
  • History of exposure to contaminated food or water.
  • Complaints of nausea and occasional vomiting.
  • Notable fatigue and jaundice observed by the patient.

Objective:

  • Abdominal tenderness on palpation.
  • Elevated liver enzymes (ALT, AST).
  • Jaundice observed on physical examination.
  • Ultrasound shows liver enlargement.
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SOAP Note Guidelines for Diagnosing Dicroceliasis (ICD-10 Code B66.2)

Assessment:

  • Diagnosis: Dicroceliasis, moderate severity.
  • ICD-10 Code: B66.2.
  • Contributing factors: Recent travel to endemic areas.
  • Symptoms consistent with liver dysfunction.

Plan:

  • Initiate treatment with praziquantel.
  • Monitor liver function tests weekly.
  • Educate patient on dietary restrictions.
  • Schedule follow-up appointment in 2 weeks.

Treatment & Plan Section for ICD-10 Code B66.2 – Dicroceliasis

  • First-line treatment with praziquantel or albendazole.
  • Encourage hydration and nutritional support.
  • Regular monitoring of liver function tests.
  • Patient education on prevention and hygiene.

Using ICD-10 Code B66.2 for Dicroceliasis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings.
  • Use B66.2 in appropriate clinical settings for billing.
  • Align treatment plans with clinical guidelines for justified billing.
  • Document all relevant patient interactions and assessments.

ICD-10 Code B66.2 in Medical Billing and Insurance for Dicroceliasis

ICD-10 Code B66.2 is crucial for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all relevant symptoms and history to support the diagnosis.
  • Use B66.2 in inpatient and outpatient settings as appropriate.
  • Ensure all chart elements align with the diagnosis for accurate claims.
  • Review coding guidelines regularly to maintain compliance.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, low complexity.
74176CT abdomen/pelvis with contrast.
36415Collection of venous blood by venipuncture.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B66.2 for Dicroceliasis

What are the common symptoms of Dicroceliasis?

Common symptoms include abdominal pain, jaundice, nausea, and vomiting. Patients may also experience fatigue and liver dysfunction, which necessitates prompt medical evaluation.

How is Dicroceliasis diagnosed?

Diagnosis typically involves clinical evaluation, patient history, and laboratory tests to assess liver function. Imaging studies may also be utilized to visualize liver abnormalities.

What is the treatment for Dicroceliasis?

Treatment usually involves antiparasitic medications such as praziquantel or albendazole, along with supportive care to manage symptoms and monitor liver function.

Is Dicroceliasis contagious?

Dicroceliasis is not contagious in the traditional sense; it is contracted through ingestion of contaminated food or water containing the parasite's larvae.

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