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ICD-10 Code B71.0 | Hymenolepiasis Symptoms, Diagnosis, Billing

Hymenolepiasis is an intestinal infection caused by the tapeworms Hymenolepis nana or Hymenolepis diminuta. It is clinically significant due to its potential to cause gastrointestinal symptoms and malabsorption, particularly in immunocompromised individuals. Accurate coding with ICD-10 Code B71.0 facilitates proper diagnosis, documentation, medical billing, and public health reporting, ensuring effective management of this parasitic infection.

What is ICD-10 Code B71.0 for Hymenolepiasis?

ICD-10 Code B71.0 specifically represents Hymenolepiasis, an infection caused by the Hymenolepis species. This code should be used in clinical documentation and billing when a patient presents with symptoms related to this parasitic infection, such as abdominal pain, diarrhea, or weight loss, ensuring accurate representation of the patient's condition for treatment and reimbursement purposes.

ICD-10 Code B71.0 – Clinical Definition and Explanation of Hymenolepiasis

Hymenolepiasis is primarily caused by the ingestion of eggs from the tapeworms Hymenolepis nana or Hymenolepis diminuta, often through contaminated food or water. The condition can lead to gastrointestinal symptoms and requires medical attention, especially in vulnerable populations. Early diagnosis and treatment are crucial to prevent complications.

Key Clinical Features:

  • Abdominal pain and discomfort
  • Diarrhea or loose stools
  • Nausea and vomiting
  • Weight loss and malnutrition
  • Potential for asymptomatic cases

ICD-10 Code B71.0 for Hymenolepiasis – SOAP Notes & Clinical Use

ICD-10 Code B71.0 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to Hymenolepiasis. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation for effective patient management.

What Does ICD-10 Code B71.0 for Hymenolepiasis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B71.0 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Hymenolepiasis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B71.0 – Hymenolepiasis

Hymenolepiasis may require hospitalization in severe cases, particularly for symptomatic patients or those with complications. Treatment typically involves antiparasitic medications.

Antibiotic Therapy:

  • Praziquantel: 1 dose of 25 mg/kg
  • Nitazoxanide: 500 mg orally twice daily for 3 days
  • Alternative: Albendazole: 400 mg orally twice daily for 3 days

Supportive Care:

  • Hydration and electrolyte management
  • Nutritional support for malnourished patients
  • Symptomatic treatment for abdominal pain and diarrhea

Infection Control:

  • Proper sanitation and hygiene practices
  • Education on food and water safety
  • Monitoring for outbreaks in communal living settings

How to Document Symptoms of Hymenolepiasis (ICD-10 B71.0) in SOAP Notes

Subjective:

  • Patient reports abdominal pain and cramping.
  • History of diarrhea for the past week.
  • Recent travel to an area with poor sanitation.
  • Complaints of weight loss and fatigue.

Objective:

  • Abdominal tenderness on palpation.
  • Stool examination positive for tapeworm eggs.
  • Vital signs stable; no fever.
  • Weight loss of 5% over the past month.
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SOAP Note Guidelines for Diagnosing Hymenolepiasis (ICD-10 Code B71.0)

Assessment:

  • Diagnosis: Hymenolepiasis, mild severity.
  • ICD-10 Code: B71.0.
  • Contributing factors: Recent travel to endemic area.
  • Symptoms consistent with parasitic infection.

Plan:

  • Initiate treatment with praziquantel.
  • Educate patient on hygiene and sanitation.
  • Monitor symptoms and weight weekly.
  • Schedule follow-up appointment in 2 weeks.

Treatment & Plan Section for ICD-10 Code B71.0 – Hymenolepiasis

  • First-line treatment with praziquantel or nitazoxanide.
  • Encourage dietary modifications to improve nutrition.
  • Regular monitoring of weight and symptoms.
  • Follow-up for stool examination to confirm treatment efficacy.

Using ICD-10 Code B71.0 for Hymenolepiasis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and treatment.
  • Use B71.0 in settings such as outpatient clinics and hospitals.
  • Include relevant clinical findings in the Objective section.
  • Align treatment plans with clinical guidelines for proper billing.

ICD-10 Code B71.0 in Medical Billing and Insurance for Hymenolepiasis

ICD-10 Code B71.0 is crucial for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all clinical findings clearly to support claims.
  • Use B71.0 in conjunction with relevant CPT codes.
  • Ensure coding reflects the severity and complexity of the case.
  • Maintain accurate records of treatment and follow-up.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, low complexity.
87449Infectious agent detection by nucleic acid, any method.
96372Therapeutic, prophylactic, or diagnostic injection.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B71.0 for Hymenolepiasis

What are the common symptoms of Hymenolepiasis?

Common symptoms include abdominal pain, diarrhea, nausea, and weight loss. Some patients may be asymptomatic, making diagnosis challenging.

How is Hymenolepiasis diagnosed?

Diagnosis typically involves stool examination for tapeworm eggs and clinical evaluation of symptoms. Imaging studies may be used in complicated cases.

Is Hymenolepiasis contagious?

Hymenolepiasis is not directly contagious; however, it can spread through contaminated food or water, necessitating good hygiene practices.

What is the treatment for Hymenolepiasis?

Treatment usually involves antiparasitic medications such as praziquantel or nitazoxanide, along with supportive care for symptoms.

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