Dipylidiasis is an intestinal infection caused by the tapeworm Dipylidium caninum, primarily transmitted through ingestion of infected fleas. This condition is clinically significant as it can lead to gastrointestinal symptoms and discomfort. Accurate coding with ICD-10 Code B71.1 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage cases of this parasitic infection.
What is ICD-10 Code B71.1 for Dipylidiasis?
ICD-10 Code B71.1 represents Dipylidiasis, an infection caused by the Dipylidium caninum tapeworm. This code should be used when documenting cases of this parasitic infection, which can manifest with symptoms such as abdominal pain and diarrhea. Proper use of this code in clinical documentation and billing is crucial for accurate patient records and reimbursement processes.
ICD-10 Code B71.1 – Clinical Definition and Explanation of Dipylidiasis
Dipylidiasis is caused by the ingestion of fleas infected with Dipylidium caninum, leading to the presence of tapeworms in the intestines. The condition can progress to cause gastrointestinal disturbances and requires medical attention to prevent complications. Early diagnosis and treatment are essential for effective management.
Key Clinical Features:
- Presence of proglottids (tapeworm segments) in stool.
- Abdominal pain or discomfort.
- Diarrhea or changes in bowel habits.
- Nausea or vomiting in some cases.
ICD-10 Code B71.1 for Dipylidiasis – SOAP Notes & Clinical Use
In SOAP notes, ICD-10 Code B71.1 is utilized to document the diagnosis of Dipylidiasis, aiding in the assessment of symptoms, treatment plans, and follow-up care. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.
What Does ICD-10 Code B71.1 for Dipylidiasis Mean in SOAP Notes?
ICD-10 Code B71.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Dipylidiasis. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code B71.1 – Dipylidiasis
Prompt treatment of Dipylidiasis is necessary to alleviate symptoms and prevent complications. The condition may require hospitalization in severe cases.
Antibiotic Therapy:
- Praziquantel: 1 dose (single administration).
- Alternative: Niclosamide: 2 doses (administered 1 hour apart).
Supportive Care:
- Hydration to prevent dehydration.
- Symptomatic treatment for abdominal pain.
- Monitoring for potential complications.
Infection Control:
- Educate patients on flea control to prevent reinfection.
- Ensure proper hygiene practices.
- Advise on cleaning environments where pets reside.
How to Document Symptoms of Dipylidiasis (ICD-10 B71.1) in SOAP Notes
Subjective:
- Patient reports abdominal pain and discomfort.
- History of exposure to infected fleas.
- Complaints of diarrhea over the past few days.
- Noted presence of tapeworm segments in stool.
Objective:
- Abdominal tenderness on palpation.
- Stool examination reveals proglottids.
- Vital signs stable; no fever.
- Weight loss noted during assessment.
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SOAP Note Guidelines for Diagnosing Dipylidiasis (ICD-10 Code B71.1)
Assessment:
- Diagnosis: Dipylidiasis, mild severity.
- ICD-10 Code: B71.1.
- Contributing factors: Exposure to fleas.
- Symptoms consistent with intestinal parasitic infection.
Plan:
- Administer praziquantel as per treatment guidelines.
- Educate patient on flea control measures.
- Schedule follow-up in one week to reassess symptoms.
- Monitor for any signs of complications.
Treatment & Plan Section for ICD-10 Code B71.1 – Dipylidiasis
- First-line treatment with praziquantel.
- Education on flea prevention and control.
- Monitoring for symptom resolution and potential complications.
- Follow-up appointments to ensure effective treatment.
Using ICD-10 Code B71.1 for Dipylidiasis in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and findings in SOAP notes.
- Use B71.1 for billing related to Dipylidiasis treatment.
- Align treatment plans with clinical guidelines for justified billing.
- Document any relevant comorbidities or complications.
Related ICD-10 Codes Often Used with Dipylidiasis
- B71.0 – Intestinal infection due to other specified helminths
- A63.0 – Ankylostomiasis
ICD-10 Code B71.1 in Medical Billing and Insurance for Dipylidiasis
ICD-10 Code B71.1 is crucial for billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant symptoms and treatment details to support claims.
- Use B71.1 in settings where Dipylidiasis is diagnosed or treated.
- Ensure compliance with coding guidelines for accurate reimbursement.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, low complexity. |
| 87070 | Stool culture for enteric pathogens. |
| 99406 | Smoking cessation counseling visit. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code B71.1 for Dipylidiasis
What are the common symptoms of Dipylidiasis?
Common symptoms include abdominal pain, diarrhea, and the presence of tapeworm segments in the stool. Patients may also experience nausea and vomiting in some cases.
How is Dipylidiasis diagnosed?
Diagnosis is typically made through stool examination, where proglottids or eggs of the tapeworm can be identified. Patient history regarding flea exposure is also important.
What is the treatment for Dipylidiasis?
Treatment usually involves the administration of praziquantel or niclosamide. Supportive care may also be necessary to manage symptoms.
Is Dipylidiasis contagious?
Dipylidiasis is not directly contagious between humans; however, it can be transmitted through ingestion of infected fleas, making flea control essential.
