ICD-10 Code B74.3 | Loiasis Symptoms, Diagnosis, Billing

Loiasis, caused by the parasitic worm Loa loa, is transmitted through the bite of infected deer flies. Clinically significant due to its potential to cause severe ocular and neurological complications, accurate coding with ICD-10 Code B74.3 is essential for proper diagnosis, documentation, medical billing, and public health reporting.

What is ICD-10 Code B74.3 for Loiasis?

ICD-10 Code B74.3 represents Loiasis, an infection caused by the filarial parasite Loa loa. This code should be used in clinical documentation when diagnosing patients with symptoms such as migrating ocular symptoms or localized swelling. Proper use of this code ensures accurate billing and reflects the underlying disease in healthcare records.

ICD-10 Code B74.3 – Clinical Definition and Explanation of Loiasis

Loiasis is caused by the parasitic worm Loa loa, primarily transmitted by the bite of infected Chrysops flies. The condition can lead to significant morbidity, including ocular complications and potential neurological effects, necessitating prompt medical attention.

Key Clinical Features:

• Migrating swelling (calabar swellings) in various body parts.
• Ocular symptoms, including conjunctivitis and potential vision impairment.
• Neurological manifestations in severe cases.
• Epidemiological prevalence in West and Central Africa.

ICD-10 Code B74.3 for Loiasis – SOAP Notes & Clinical Use

ICD-10 Code B74.3 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive patient management and accurate billing.

What Does ICD-10 Code B74.3 for Loiasis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B74.3 connects subjective patient-reported symptoms with objective clinical findings, facilitating a formal diagnosis. This code is crucial for ensuring continuity of care, supporting billing processes, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B74.3 – Loiasis

Loiasis requires prompt treatment to prevent complications. Hospitalization may be necessary for severe cases, and specific therapeutic approaches are essential.

Antibiotic Therapy:

• First-line: Diethylcarbamazine (DEC) for 21 days.
• Alternative: Ivermectin in cases of DEC intolerance.

Supportive Care:

• Management of symptoms such as pain and swelling.
• Regular monitoring for ocular and neurological complications.

Infection Control:

• Education on avoiding insect bites in endemic areas.
• Use of insect repellent and protective clothing.

How to Document Symptoms of Loiasis (ICD-10 B74.3) in SOAP Notes

Subjective:

• Patient reports intermittent swelling in limbs.
• Complaints of eye discomfort and visual disturbances.
• History of travel to endemic regions in Africa.

Objective:

• Calabar swellings observed on physical examination.
• Conjunctival injection noted during eye examination.
• Vital signs stable; no fever present.

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SOAP Note Guidelines for Diagnosing Loiasis (ICD-10 Code B74.3)

Assessment:

• Diagnosis: Loiasis (ICD-10 B74.3), moderate severity.
• No applicable subcodes; monitor for complications.
• Travel history to endemic areas noted as a contributing factor.

Plan:

• Initiate treatment with Diethylcarbamazine (DEC).
• Educate patient on symptom management and follow-up.
• Schedule follow-up appointment in 2 weeks to monitor progress.

Treatment & Plan Section for ICD-10 Code B74.3 – Loiasis

• Administer Diethylcarbamazine (DEC) as per guidelines.
• Provide patient education on recognizing symptoms.
• Monitor for potential ocular and neurological complications.
• Schedule regular follow-ups to assess treatment efficacy.

Using ICD-10 Code B74.3 for Loiasis in Billing & SOAP Note Compliance

• Ensure clear documentation of symptoms under Subjective (S) and Objective (O).
• Use ICD-10 Code B74.3 to justify treatment and billing.
• Align treatment plans with clinical guidelines for compliance.
• Document any complications or additional findings to support billing.

Related ICD-10 Codes Often Used with Loiasis

• B74.0 – African eye worm
• B74.1 – Other filarial infections
• B74.2 – Filarial infections, unspecified

ICD-10 Code B74.3 in Medical Billing and Insurance for Loiasis

ICD-10 Code B74.3 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant symptoms and history to support the claim.
• Use the code in conjunction with treatment codes for comprehensive billing.
• Ensure accurate coding to avoid claim denials.

Common CPT Pairings: