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ICD-10 Code B81.1 | Intestinal capillariasis Symptoms, Diagnosis, Billing

Intestinal capillariasis is a parasitic infection caused by the nematode Capillaria philippinensis, primarily affecting the intestines. This condition can lead to significant gastrointestinal symptoms, malnutrition, and complications if left untreated. Accurate coding with ICD-10 Code B81.1 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this infection.

What is ICD-10 Code B81.1 for Intestinal capillariasis?

ICD-10 Code B81.1 specifically denotes Intestinal capillariasis, a parasitic infection characterized by the presence of Capillaria philippinensis in the intestines. This code should be utilized in clinical documentation and billing when diagnosing patients with this condition, ensuring accurate representation of the disease for treatment planning and reimbursement purposes.

ICD-10 Code B81.1 – Clinical Definition and Explanation of Intestinal capillariasis

Intestinal capillariasis is caused by the ingestion of infective larvae of Capillaria philippinensis, often through contaminated food or water. The infection can lead to severe gastrointestinal symptoms and requires prompt medical attention to prevent complications such as malabsorption and dehydration.

Key Clinical Features:

  • Abdominal pain and discomfort
  • Diarrhea, which may be watery
  • Nausea and vomiting
  • Weight loss and malnutrition

ICD-10 Code B81.1 for Intestinal capillariasis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B81.1 is utilized to document the diagnosis of intestinal capillariasis, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B81.1 for Intestinal capillariasis Mean in SOAP Notes?

ICD-10 Code B81.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of intestinal capillariasis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B81.1 – Intestinal capillariasis

Intestinal capillariasis may require hospitalization in severe cases due to dehydration or malnutrition. Treatment typically involves antiparasitic medications and supportive care.

Antibiotic Therapy:

  • First-line: Albendazole (400 mg orally once)
  • Alternative: Mebendazole (500 mg orally once)
  • Duration: Typically 1-3 days depending on severity

Supportive Care:

  • Hydration therapy to prevent dehydration
  • Nutritional support to address malnutrition
  • Monitoring for complications such as electrolyte imbalances

Infection Control:

  • Educate patients on proper food and water hygiene
  • Implement precautions in outbreak settings to prevent transmission
  • Monitor and report cases to public health authorities

How to Document Symptoms of Intestinal capillariasis (ICD-10 B81.1) in SOAP Notes

Subjective:

  • Patient reports abdominal pain and cramping
  • Complaints of frequent watery diarrhea
  • History of recent travel to endemic areas
  • Notable weight loss over the past month

Objective:

  • Abdominal tenderness on palpation
  • Vital signs: elevated heart rate, low blood pressure
  • Laboratory findings: eosinophilia, stool examination positive for Capillaria
  • Signs of dehydration observed
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SOAP Note Guidelines for Diagnosing Intestinal capillariasis (ICD-10 Code B81.1)

Assessment:

  • Diagnosis: Intestinal capillariasis, moderate severity
  • ICD-10 Code: B81.1
  • Contributing factors: Recent travel to endemic region, possible exposure to contaminated food
  • Symptoms consistent with parasitic infection

Plan:

  • Initiate treatment with albendazole 400 mg orally
  • Provide hydration therapy and nutritional support
  • Educate patient on hygiene practices to prevent reinfection
  • Schedule follow-up in one week to monitor progress

Treatment & Plan Section for ICD-10 Code B81.1 – Intestinal capillariasis

  • Administer antiparasitic medication as prescribed
  • Ensure adequate hydration and nutrition
  • Monitor for signs of complications such as severe dehydration
  • Educate on prevention strategies to avoid future infections

Using ICD-10 Code B81.1 for Intestinal capillariasis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in SOAP notes
  • Use B81.1 for billing related to diagnosis and treatment of intestinal capillariasis
  • Align treatment plans with clinical guidelines to support justified billing
  • Include relevant CPT codes that correspond with the services provided

ICD-10 Code B81.1 in Medical Billing and Insurance for Intestinal capillariasis

ICD-10 Code B81.1 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

  • Document all relevant patient history and clinical findings to support the diagnosis
  • Use B81.1 in conjunction with appropriate CPT codes for billing
  • Ensure compliance with payer requirements for documentation and coding
  • Review coding guidelines regularly to maintain accuracy

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, Level 3
87581Infectious agent detection by nucleic acid (DNA or RNA); parasitic infection
96372Therapeutic, prophylactic, or diagnostic injection
99285Emergency department visit, high severity

Frequently Asked Questions

Common Questions About Using ICD-10 Code B81.1 for Intestinal capillariasis

What are the common symptoms of intestinal capillariasis?

Common symptoms include abdominal pain, diarrhea, nausea, vomiting, and weight loss. Patients may also experience malnutrition due to the infection's impact on nutrient absorption.

How is intestinal capillariasis diagnosed?

Diagnosis typically involves clinical evaluation, patient history, and laboratory tests, including stool examination for the presence of Capillaria philippinensis eggs or larvae.

What is the treatment for intestinal capillariasis?

Treatment usually involves antiparasitic medications such as albendazole or mebendazole, along with supportive care to manage symptoms and prevent complications.

Is intestinal capillariasis contagious?

Intestinal capillariasis is not directly contagious; however, it can spread through contaminated food or water, making hygiene and sanitation crucial in prevention.

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