ICD-10 Code B77.89 | Ascariasis with other complications Symptoms, Diagnosis, Billing

Ascariasis with other complications is a parasitic infection caused by the Ascaris lumbricoides worm. This condition can lead to various complications such as intestinal obstruction, malnutrition, and respiratory issues. Accurate coding with ICD-10 Code B77.89 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code B77.89 for Ascariasis with other complications?

ICD-10 Code B77.89 represents Ascariasis with other complications, indicating a diagnosis of ascariasis that has resulted in additional health issues. This code should be used when documenting cases where the infection has led to complications such as intestinal obstruction or respiratory symptoms, ensuring accurate billing and clinical documentation.

ICD-10 Code B77.89 – Clinical Definition and Explanation of Ascariasis with other complications

Ascariasis is caused by the ingestion of Ascaris lumbricoides eggs, leading to the development of adult worms in the intestines. Complications may arise from the infection, necessitating medical intervention. Prompt diagnosis and treatment are crucial to prevent severe health consequences.

Key Clinical Features:

• Abdominal pain and distension due to intestinal obstruction.
• Nausea and vomiting as a result of gastrointestinal involvement.
• Respiratory symptoms such as cough or wheezing from larval migration.
• Malnutrition and growth retardation in children due to nutrient absorption issues.

ICD-10 Code B77.89 for Ascariasis with other complications – SOAP Notes & Clinical Use

ICD-10 Code B77.89 is utilized in SOAP notes to document the presence of ascariasis with complications. It aids in capturing the patient's symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code B77.89 for Ascariasis with other complications Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B77.89 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of ascariasis with complications. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B77.89 – Ascariasis with other complications

Ascariasis with other complications may require hospitalization, especially in severe cases. Treatment typically involves antiparasitic medications and supportive care.

Antibiotic Therapy:

• Albendazole: 400 mg orally once.
• Mebendazole: 500 mg orally once or 100 mg twice daily for three days.
• Ivermectin: 150 mcg/kg orally once.

Supportive Care:

• Hydration and electrolyte management for patients with vomiting.
• Nutritional support to address malnutrition.
• Surgical intervention if intestinal obstruction occurs.

Infection Control:

• Educate patients on proper sanitation and hygiene practices.
• Implement measures to prevent contamination of food and water.
• Monitor for outbreaks in endemic areas.

How to Document Symptoms of Ascariasis with other complications (ICD-10 B77.89) in SOAP Notes

Subjective:

• Patient reports abdominal pain and intermittent nausea.
• History of travel to endemic areas with poor sanitation.
• Complaints of cough and difficulty breathing.
• Notable weight loss over the past month.

Objective:

• Abdominal tenderness on palpation.
• Bowel sounds increased with possible obstruction.
• Respiratory rate elevated at 22 breaths per minute.
• Weight significantly below expected for age.

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SOAP Note Guidelines for Diagnosing Ascariasis with other complications (ICD-10 Code B77.89)

Assessment:

• Diagnosis: Ascariasis with other complications, moderate severity.
• ICD-10 Code: B77.89.
• Contributing factors: Recent travel to endemic regions, poor sanitation.
• Complications: Possible intestinal obstruction and respiratory symptoms.

Plan:

• Initiate treatment with albendazole 400 mg orally once.
• Provide hydration and nutritional support.
• Monitor for signs of intestinal obstruction; consider surgical evaluation if needed.
• Schedule follow-up in one week to reassess symptoms and treatment efficacy.

Treatment & Plan Section for ICD-10 Code B77.89 – Ascariasis with other complications

• First-line treatment with albendazole or mebendazole.
• Nutritional counseling to address malnutrition.
• Monitoring for complications such as intestinal obstruction.
• Follow-up appointments to assess treatment response and recovery.

Using ICD-10 Code B77.89 for Ascariasis with other complications in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and complications in the Subjective (S) and Objective (O) sections.
• Use B77.89 for cases with documented complications to support billing.
• Align treatment plans with clinical guidelines to justify coding.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Ascariasis with other complications

• B77.0 – Ascariasis without complications

ICD-10 Code B77.89 in Medical Billing and Insurance for Ascariasis with other complications

ICD-10 Code B77.89 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant symptoms and complications to support the use of B77.89.
• Ensure coding is consistent with clinical findings and treatment plans.
• Use B77.89 in conjunction with other codes for comprehensive billing.
• Review payer-specific guidelines for documentation requirements.

Common CPT Pairings: