Necatoriasis is an infection caused by the hookworm species Necator americanus, leading to gastrointestinal symptoms and potential anemia due to blood loss. Accurate coding with ICD-10 Code B76.1 is essential for proper diagnosis, documentation, and billing, ensuring appropriate treatment and public health reporting.
What is ICD-10 Code B76.1 for Necatoriasis?
ICD-10 Code B76.1 represents Necatoriasis, an infection caused by hookworms. This code is used in clinical documentation when diagnosing patients with symptoms related to hookworm infection, such as abdominal pain and anemia, facilitating accurate billing and treatment planning.
ICD-10 Code B76.1 – Clinical Definition and Explanation of Necatoriasis
Necatoriasis is primarily caused by the parasitic hookworm Necator americanus, which enters the body through the skin and migrates to the intestines. It can lead to significant health issues, including iron deficiency anemia, requiring prompt medical attention.
Key Clinical Features:
- Abdominal pain and discomfort
- Anemia due to blood loss
- Fatigue and weakness
- Skin irritation at entry site
ICD-10 Code B76.1 for Necatoriasis – SOAP Notes & Clinical Use
In SOAP notes, ICD-10 Code B76.1 is utilized to document the diagnosis of Necatoriasis, aiding in the assessment of symptoms and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive patient management.
What Does ICD-10 Code B76.1 for Necatoriasis Mean in SOAP Notes?
ICD-10 Code B76.1 connects subjective patient reports of symptoms with objective clinical findings, establishing a formal diagnosis of Necatoriasis. This code supports continuity of care, facilitates accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code B76.1 – Necatoriasis
Necatoriasis requires prompt treatment to prevent complications such as severe anemia. Antiparasitic medications are the primary treatment, and supportive care is essential for symptom management.
Antibiotic Therapy:
- Albendazole 400 mg orally once
- Mebendazole 500 mg orally once
- Pyrantel pamoate 11 mg/kg orally, max 1 g
Supportive Care:
- Iron supplementation for anemia
- Hydration and nutritional support
- Monitoring for complications
Infection Control:
- Educate on hygiene practices
- Ensure proper sanitation in endemic areas
- Screening and treatment of affected populations
How to Document Symptoms of Necatoriasis (ICD-10 B76.1) in SOAP Notes
Subjective:
- Patient reports abdominal pain and cramping.
- History of travel to endemic areas.
- Complaints of fatigue and weakness.
- Skin irritation noted at the site of entry.
Objective:
- Abdominal tenderness on examination.
- Pallor observed during physical assessment.
- Positive stool test for hookworm eggs.
- Hemoglobin level indicating anemia.
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SOAP Note Guidelines for Diagnosing Necatoriasis (ICD-10 Code B76.1)
Assessment:
- Diagnosis: Necatoriasis, moderate severity.
- ICD-10 Code: B76.1.
- Contributing factors: Recent travel to endemic regions.
- Symptoms consistent with hookworm infection.
Plan:
- Administer albendazole 400 mg orally.
- Provide iron supplementation for anemia.
- Educate patient on hygiene and prevention.
- Schedule follow-up in 2 weeks for symptom reassessment.
Treatment & Plan Section for ICD-10 Code B76.1 – Necatoriasis
- First-line treatment with albendazole or mebendazole.
- Iron supplementation to address anemia.
- Patient education on hygiene and prevention strategies.
- Follow-up appointments to monitor treatment efficacy.
Using ICD-10 Code B76.1 for Necatoriasis in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and history.
- Use B76.1 in appropriate clinical settings for billing.
- Align treatment plans with clinical guidelines.
- Document all relevant findings in Subjective (S) and Objective (O) sections.
Related ICD-10 Codes Often Used with Necatoriasis
- B76.0 – Ancylostomiasis
- B74.9 – Other protozoal diseases
ICD-10 Code B76.1 in Medical Billing and Insurance for Necatoriasis
ICD-10 Code B76.1 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.
Billing Notes:
- Document all relevant patient history and symptoms.
- Use B76.1 in conjunction with appropriate CPT codes.
- Ensure compliance with payer guidelines for infectious diseases.
- Maintain thorough records to support claims.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, low complexity. |
| 87070 | Culture, bacterial; any source. |
| 36415 | Collection of venous blood by venipuncture. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code B76.1 for Necatoriasis
What are the common symptoms of Necatoriasis?
Common symptoms include abdominal pain, diarrhea, fatigue, and signs of anemia such as pallor and weakness. Patients may also experience skin irritation at the site of hookworm entry.
How is Necatoriasis diagnosed?
Diagnosis is typically made through clinical evaluation and laboratory tests, including stool examinations to identify hookworm eggs and blood tests to assess anemia.
What is the treatment for Necatoriasis?
Treatment usually involves antiparasitic medications such as albendazole or mebendazole, along with iron supplementation to address anemia and supportive care for symptoms.
Is Necatoriasis contagious?
Necatoriasis is not contagious in the traditional sense; however, it can spread in areas with poor sanitation where hookworm larvae are present in soil.
