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ICD-10 Code B81.2 | Trichostrongyliasis Symptoms, Diagnosis, Billing

Trichostrongyliasis is an infection caused by nematodes of the genus Trichostrongylus, primarily affecting the gastrointestinal tract. It is clinically significant due to its potential to cause malnutrition and gastrointestinal symptoms, particularly in endemic areas. Accurate coding with ICD-10 Code B81.2 facilitates proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this parasitic infection.

What is ICD-10 Code B81.2 for Trichostrongyliasis?

ICD-10 Code B81.2 specifically represents Trichostrongyliasis, an infection caused by Trichostrongylus species. This code should be used when documenting cases of this parasitic infection, which can lead to gastrointestinal disturbances and nutritional deficiencies. Proper use of this code in clinical documentation and billing is essential for accurate patient records and reimbursement processes.

ICD-10 Code B81.2 – Clinical Definition and Explanation of Trichostrongyliasis

Trichostrongyliasis is caused by the ingestion of larvae from contaminated food or water, leading to infection in the intestines. The condition can progress to cause significant gastrointestinal symptoms and malabsorption, necessitating medical intervention.

Key Clinical Features:

  • Gastrointestinal symptoms such as abdominal pain, diarrhea, and nausea.
  • Potential for malnutrition due to impaired nutrient absorption.
  • Epidemiological links to areas with poor sanitation and hygiene.
  • Presence of eosinophilia in laboratory findings.

ICD-10 Code B81.2 for Trichostrongyliasis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B81.2 is utilized to document the diagnosis of Trichostrongyliasis, 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 B81.2 for Trichostrongyliasis Mean in SOAP Notes?

ICD-10 Code B81.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Trichostrongyliasis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B81.2 – Trichostrongyliasis

Trichostrongyliasis may require hospitalization in severe cases, particularly when complications arise. Treatment typically involves antiparasitic medications.

Antibiotic Therapy:

  • Albendazole: 400 mg orally once, may repeat after 3 weeks.
  • Mebendazole: 100 mg orally twice daily for 3 days.
  • Ivermectin: 200 mcg/kg orally once, if indicated.

Supportive Care:

  • Hydration and electrolyte management.
  • Nutritional support to address malnutrition.
  • Symptomatic treatment for gastrointestinal discomfort.

Infection Control:

  • Educate patients on hygiene practices to prevent reinfection.
  • Implement sanitation measures in endemic areas.
  • Monitor and report cases to public health authorities.

How to Document Symptoms of Trichostrongyliasis (ICD-10 B81.2) in SOAP Notes

Subjective:

  • Patient reports abdominal pain and intermittent diarrhea.
  • History of travel to endemic areas with poor sanitation.
  • Complaints of weight loss and fatigue over the past month.

Objective:

  • Abdominal tenderness on palpation.
  • Laboratory results showing eosinophilia.
  • Stool examination positive for Trichostrongylus larvae.
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SOAP Note Guidelines for Diagnosing Trichostrongyliasis (ICD-10 Code B81.2)

Assessment:

  • Diagnosis: Trichostrongyliasis, moderate severity.
  • ICD-10 Code: B81.2.
  • Contributing factors: Recent travel to endemic regions.

Plan:

  • Initiate treatment with Albendazole 400 mg orally once.
  • Provide dietary counseling to address nutritional deficiencies.
  • Schedule follow-up in 2 weeks to monitor symptoms and treatment response.

Treatment & Plan Section for ICD-10 Code B81.2 – Trichostrongyliasis

  • First-line pharmacologic treatment includes Albendazole or Mebendazole.
  • Non-pharmacologic strategies involve nutritional support and hydration.
  • Monitoring includes regular follow-up visits to assess treatment efficacy.
  • Patient education on hygiene practices to prevent reinfection.

Using ICD-10 Code B81.2 for Trichostrongyliasis in Billing & SOAP Note Compliance

  • Select accurate subcodes based on clinical severity or complications.
  • Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
  • Ensure treatment plans align with clinical guidelines to support justified billing.
  • Only list CPT codes that are commonly billed with ICD-10 Code B81.2 based on standard medical coding practices.

ICD-10 Code B81.2 in Medical Billing and Insurance for Trichostrongyliasis

ICD-10 Code B81.2 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Ensure documentation includes detailed patient history and clinical findings.
  • Use B81.2 in conjunction with relevant CPT codes for comprehensive billing.
  • Maintain accurate records of treatment plans and patient responses.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, level 3.
87070Culture, bacterial; any source.
88305Pathology, surgical; gross and microscopic examination.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B81.2 for Trichostrongyliasis

What are the common symptoms of Trichostrongyliasis?

Common symptoms include abdominal pain, diarrhea, nausea, and weight loss. Patients may also experience fatigue and signs of malnutrition due to impaired nutrient absorption.

How is Trichostrongyliasis diagnosed?

Diagnosis is typically made through clinical evaluation, patient history, and laboratory tests, including stool examinations for Trichostrongylus larvae and eosinophil counts.

What is the treatment for Trichostrongyliasis?

Treatment usually involves antiparasitic medications such as Albendazole or Mebendazole, along with supportive care to manage symptoms and nutritional deficiencies.

Is Trichostrongyliasis contagious?

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

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