Mansonelliasis is a parasitic infection caused by the filarial worm Mansonella. It is transmitted through insect bites, primarily by blackflies and midges. Clinically significant due to its potential to cause chronic symptoms and complications, accurate coding with ICD-10 Code B74.4 is essential for proper diagnosis, documentation, medical billing, and public health reporting.
What is ICD-10 Code B74.4 for Mansonelliasis?
ICD-10 Code B74.4 specifically represents Mansonelliasis, an infection caused by the Mansonella species. This code should be used in clinical documentation when diagnosing patients with this condition, ensuring accurate billing and facilitating appropriate treatment protocols.
ICD-10 Code B74.4 – Clinical Definition and Explanation of Mansonelliasis
Mansonelliasis is caused by the filarial parasites Mansonella ozzardi and Mansonella perstans, primarily transmitted by insect vectors. The condition can lead to various clinical manifestations, including skin rashes and lymphatic issues, necessitating medical attention for management and prevention of complications.
Key Clinical Features:
- Asymptomatic in many cases
- Possible skin rashes or pruritus
- Lymphadenopathy
- Potential for chronic symptoms
- Epidemiologically relevant in endemic regions
ICD-10 Code B74.4 for Mansonelliasis – SOAP Notes & Clinical Use
ICD-10 Code B74.4 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 documentation of the patient's condition.
What Does ICD-10 Code B74.4 for Mansonelliasis Mean in SOAP Notes?
In SOAP notes, ICD-10 Code B74.4 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Mansonelliasis. This code is crucial for ensuring continuity of care, supporting billing processes, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code B74.4 – Mansonelliasis
Mansonelliasis may require hospitalization in severe cases, particularly if complications arise. Treatment typically involves antiparasitic medications and supportive care.
Antibiotic Therapy:
- Ivermectin (first-line) - single dose
- Albendazole (alternative) - 3 days
- Doxycycline (alternative) - 21 days
Supportive Care:
- Symptomatic relief for itching
- Hydration and nutritional support
- Monitoring for secondary infections
Infection Control:
- Educate on vector avoidance
- Implement measures to reduce insect exposure
- Monitor for outbreaks in endemic areas
How to Document Symptoms of Mansonelliasis (ICD-10 B74.4) in SOAP Notes
Subjective:
- Patient reports itching and skin rash
- History of travel to endemic areas
- No known allergies reported
- Symptoms have persisted for several weeks
Objective:
- Skin examination reveals rashes
- Lymph nodes palpated, mildly enlarged
- Vital signs stable
- No fever noted
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SOAP Note Guidelines for Diagnosing Mansonelliasis (ICD-10 Code B74.4)
Assessment:
- Diagnosis: Mansonelliasis, mild severity
- ICD-10 Code: B74.4
- Possible contributing factors: travel history
- Monitor for potential complications
Plan:
- Initiate treatment with Ivermectin
- Educate patient on vector avoidance
- Schedule follow-up in 2 weeks
- Monitor for symptom resolution and side effects
Treatment & Plan Section for ICD-10 Code B74.4 – Mansonelliasis
- First-line treatment with Ivermectin
- Consider alternative therapies if needed
- Educate on prevention strategies
- Regular follow-up to monitor treatment efficacy
Using ICD-10 Code B74.4 for Mansonelliasis in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and history
- Use B74.4 for all related billing
- Align treatment plans with clinical guidelines
- Include relevant CPT codes for services rendered
Related ICD-10 Codes Often Used with Mansonelliasis
- B74.0 – Mansonelliasis due to Mansonella ozzardi
- B74.1 – Mansonelliasis due to Mansonella perstans
- B74.2 – Mansonelliasis due to Mansonella streptocerca
- B74.3 – Mansonelliasis, unspecified
ICD-10 Code B74.4 in Medical Billing and Insurance for Mansonelliasis
ICD-10 Code B74.4 is critical in billing for Mansonelliasis, particularly in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant symptoms and travel history
- Use B74.4 in conjunction with treatment codes
- Ensure compliance with payer requirements
- Include detailed notes to support claims
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, Level 3 |
| 87491 | Infectious agent detection by nucleic acid, Mansonella species |
| 96372 | Therapeutic, prophylactic, or diagnostic injection |
Frequently Asked Questions
Common Questions About Using ICD-10 Code B74.4 for Mansonelliasis
What are the common symptoms of Mansonelliasis?
Common symptoms include itching, skin rashes, and lymphadenopathy. Many patients may remain asymptomatic, but chronic cases can lead to more severe manifestations.
How is Mansonelliasis diagnosed?
Diagnosis is typically made through clinical evaluation and laboratory tests to identify the presence of Mansonella parasites in the blood or tissue samples.
Is Mansonelliasis contagious?
Mansonelliasis is not contagious in the traditional sense; it is transmitted through insect bites, primarily by blackflies and midges.
What is the treatment for Mansonelliasis?
Treatment usually involves antiparasitic medications such as Ivermectin. Supportive care may also be necessary to manage symptoms.
