ICD-10 Code B75 | Trichinellosis Symptoms, Diagnosis, Billing

Trichinellosis is a parasitic infection caused by the ingestion of larvae from Trichinella species, typically through undercooked or raw meat. Clinically significant due to its potential to cause severe gastrointestinal and systemic symptoms, accurate coding with ICD-10 Code B75 is essential for diagnosis, documentation, medical billing, and public health reporting.

What is ICD-10 Code B75 for Trichinellosis?

ICD-10 Code B75 represents Trichinellosis, an infection resulting from the consumption of meat containing Trichinella larvae. This code should be used in clinical documentation and billing when diagnosing patients with symptoms consistent with this parasitic infection, ensuring proper treatment and tracking of epidemiological data.

ICD-10 Code B75 – Clinical Definition and Explanation of Trichinellosis

Trichinellosis is caused by the ingestion of Trichinella larvae, primarily found in undercooked pork and wild game. The condition can lead to serious complications, including myositis and systemic inflammation, necessitating prompt medical attention.

Key Clinical Features:

• Nausea, diarrhea, and abdominal pain following ingestion of contaminated meat.
• Fever, muscle pain, and swelling as the larvae migrate through the body.
• Potential for severe complications such as myocarditis and neurological symptoms.
• Epidemiological links to consumption of undercooked or raw meat products.

ICD-10 Code B75 for Trichinellosis – SOAP Notes & Clinical Use

ICD-10 Code B75 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans for Trichinellosis. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B75 for Trichinellosis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B75 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Trichinellosis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B75 – Trichinellosis

Trichinellosis requires prompt medical intervention, especially in severe cases. Treatment may involve antiparasitic medications and supportive care.

Antibiotic Therapy:

• Albendazole: 400 mg orally twice daily for 3 days.
• Mebendazole: 500 mg orally three times daily for 3 days.
• Supportive care may be necessary for severe cases.

Supportive Care:

• Pain management with analgesics.
• Hydration and electrolyte management for gastrointestinal symptoms.
• Monitoring for complications such as myocarditis.

Infection Control:

• Educate patients on proper cooking of meat to prevent infection.
• Implement food safety measures in food handling and preparation.
• Report cases to public health authorities during outbreaks.

How to Document Symptoms of Trichinellosis (ICD-10 B75) in SOAP Notes

Subjective:

• Patient reports recent consumption of undercooked pork.
• Symptoms include abdominal pain, diarrhea, and muscle aches.
• History of fever and swelling in the face and extremities.

Objective:

• Vital signs: Fever of 101°F, elevated heart rate.
• Abdominal tenderness on palpation.
• Muscle tenderness noted on examination.

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SOAP Note Guidelines for Diagnosing Trichinellosis (ICD-10 Code B75)

Assessment:

• Diagnosis: Trichinellosis, moderate severity.
• ICD-10 Code: B75.
• Recent history of consuming undercooked pork identified as a contributing factor.

Plan:

• Initiate treatment with Albendazole 400 mg twice daily for 3 days.
• Provide education on food safety and proper cooking methods.
• Schedule follow-up in one week to monitor symptoms and treatment response.

Treatment & Plan Section for ICD-10 Code B75 – Trichinellosis

• First-line treatment includes Albendazole or Mebendazole.
• Encourage dietary modifications to avoid undercooked meats.
• Monitor for complications such as myocarditis or severe muscle pain.
• Follow-up appointments to assess treatment efficacy and symptom resolution.

Using ICD-10 Code B75 for Trichinellosis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history in Subjective (S) and Objective (O) sections.
• Use ICD-10 Code B75 for billing related to Trichinellosis treatment and management.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes for laboratory tests and follow-up visits.

Related ICD-10 Codes Often Used with Trichinellosis

• B74.9 – Other protozoal diseases, unspecified
• A00.9 – Cholera, unspecified
• A09 – Diarrhea and gastroenteritis of presumed infectious origin

ICD-10 Code B75 in Medical Billing and Insurance for Trichinellosis

ICD-10 Code B75 is critical for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and symptoms to support the diagnosis.
• Use B75 in conjunction with appropriate CPT codes for laboratory tests and treatments.
• Ensure compliance with payer requirements for documentation and coding.

Common CPT Pairings: