ICD-10 Code B66.4 | Paragonimiasis Symptoms, Diagnosis, Billing

Paragonimiasis is a parasitic infection caused by the lung fluke, primarily Paragonimus westermani. It is clinically significant due to its potential to cause severe respiratory symptoms and complications, including chronic cough and hemoptysis. Accurate coding with ICD-10 Code B66.4 facilitates proper diagnosis, documentation, medical billing, and public health reporting, ensuring effective management of this infectious disease.

What is ICD-10 Code B66.4 for Paragonimiasis?

ICD-10 Code B66.4 represents Paragonimiasis, an infection caused by the trematode parasite Paragonimus. This code is used when documenting cases of paragonimiasis, which can lead to pulmonary symptoms and complications. It is essential for accurate clinical documentation and billing, particularly in cases where patients present with respiratory distress or related symptoms.

ICD-10 Code B66.4 – Clinical Definition and Explanation of Paragonimiasis

Paragonimiasis is caused by the ingestion of undercooked or raw freshwater crustaceans harboring the larvae of Paragonimus species. The infection can progress to cause significant pulmonary symptoms, necessitating medical intervention. Prompt diagnosis and treatment are crucial to prevent complications such as chronic lung disease.

Key Clinical Features:

• Chronic cough, often productive with sputum
• Hemoptysis (coughing up blood)
• Chest pain and dyspnea
• Fever and night sweats in acute cases

ICD-10 Code B66.4 for Paragonimiasis – SOAP Notes & Clinical Use

ICD-10 Code B66.4 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to paragonimiasis. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's clinical status and response to treatment.

What Does ICD-10 Code B66.4 for Paragonimiasis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B66.4 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of paragonimiasis. This code supports continuity of care, facilitates accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B66.4 – Paragonimiasis

Paragonimiasis requires prompt treatment to prevent complications. Hospitalization may be necessary for severe cases, particularly those with respiratory distress.

Antibiotic Therapy:

• Praziquantel (first-line), typically for 1-2 days
• Bithionol (alternative), typically for 1-2 days
• Supportive antibiotics for secondary infections as needed

Supportive Care:

• Symptomatic treatment for cough and pain management
• Monitoring respiratory function
• Nutritional support if indicated

Infection Control:

• Education on proper cooking of freshwater crustaceans
• Avoidance of raw or undercooked seafood
• Isolation precautions if indicated during outbreaks

How to Document Symptoms of Paragonimiasis (ICD-10 B66.4) in SOAP Notes

Subjective:

• Patient reports chronic cough with occasional blood-streaked sputum
• History of consuming undercooked freshwater crabs
• Complaints of chest pain and difficulty breathing
• Fever and night sweats noted over the past week

Objective:

• Auscultation reveals wheezing and crackles in lung fields
• Respiratory rate: 22 breaths per minute
• Oxygen saturation: 92% on room air
• Chest X-ray shows infiltrates consistent with parasitic infection

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SOAP Note Guidelines for Diagnosing Paragonimiasis (ICD-10 Code B66.4)

Assessment:

• Diagnosis: Paragonimiasis, moderate severity
• ICD-10 Code: B66.4
• Contributing factors: Recent travel to endemic areas and dietary habits
• Consider differential diagnoses including other parasitic infections

Plan:

• Initiate praziquantel therapy as per guidelines
• Provide education on dietary precautions to prevent reinfection
• Schedule follow-up appointment in one week to monitor symptoms
• Consider referral to infectious disease specialist if no improvement

Treatment & Plan Section for ICD-10 Code B66.4 – Paragonimiasis

• First-line treatment with praziquantel for effective parasite eradication
• Education on avoiding raw or undercooked seafood to prevent reinfection
• Monitoring of respiratory symptoms and follow-up imaging as needed
• Supportive care for symptom management and nutritional needs

Using ICD-10 Code B66.4 for Paragonimiasis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history to support coding
• Use B66.4 in conjunction with relevant procedure codes for billing
• Document treatment plans that align with clinical guidelines for reimbursement
• Include patient education and follow-up plans in notes for comprehensive care

Related ICD-10 Codes Often Used with Paragonimiasis

• B66.0 – Paragonimiasis due to Paragonimus westermani
• B66.1 – Paragonimiasis due to Paragonimus africanus
• B66.2 – Paragonimiasis due to Paragonimus mexicanus
• B66.3 – Paragonimiasis due to Paragonimus skrjabini

ICD-10 Code B66.4 in Medical Billing and Insurance for Paragonimiasis

ICD-10 Code B66.4 is critical for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant symptoms and history to support the use of B66.4.
• Ensure that the code is used in appropriate clinical settings for accurate billing.
• Include key chart elements such as treatment plans and follow-up recommendations.
• Maintain compliance with coding guidelines to avoid claim denials.

Common CPT Pairings: