ICD-10 Code B81.4 | Mixed intestinal helminthiases Symptoms, Diagnosis, Billing

Mixed intestinal helminthiases refers to the simultaneous infection of the intestines by multiple species of helminths (worms). This condition is clinically significant as it can lead to malnutrition, anemia, and gastrointestinal disturbances. Accurate coding with ICD-10 Code B81.4 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 B81.4 for Mixed intestinal helminthiases?

ICD-10 Code B81.4 represents Mixed intestinal helminthiases, a condition characterized by the presence of multiple intestinal helminth infections. This code should be used when documenting cases where patients exhibit symptoms or complications arising from various helminth species, facilitating accurate clinical documentation and appropriate billing for healthcare services rendered.

ICD-10 Code B81.4 – Clinical Definition and Explanation of Mixed intestinal helminthiases

Mixed intestinal helminthiases is caused by the co-infection of the intestines with different types of helminths, such as roundworms, hookworms, and tapeworms. This condition can lead to significant health issues, including nutritional deficiencies and gastrointestinal complications, necessitating medical intervention.

Key Clinical Features:

• Presence of multiple helminth species in stool samples.
• Symptoms may include abdominal pain, diarrhea, and weight loss.
• Potential for anemia due to nutrient malabsorption.
• Increased risk of secondary infections and complications.

ICD-10 Code B81.4 for Mixed intestinal helminthiases – SOAP Notes & Clinical Use

ICD-10 Code B81.4 is utilized in SOAP notes to document the diagnosis of Mixed intestinal helminthiases. It plays a crucial role in capturing patient symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code B81.4 for Mixed intestinal helminthiases Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B81.4 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Mixed intestinal helminthiases. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B81.4 – Mixed intestinal helminthiases

Mixed intestinal helminthiases requires prompt medical attention to prevent complications. Treatment typically involves antiparasitic medications and supportive care.

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, for specific helminth infections.

Supportive Care:

• Nutritional support to address deficiencies.
• Hydration therapy for diarrhea management.
• Monitoring for anemia and other complications.

Infection Control:

• Educate patients on hygiene practices to prevent reinfection.
• Implement sanitation measures in endemic areas.
• Screen and treat household contacts if necessary.

How to Document Symptoms of Mixed intestinal helminthiases (ICD-10 B81.4) in SOAP Notes

Subjective:

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

Objective:

• Abdominal tenderness on palpation.
• Stool examination reveals multiple helminth eggs.
• Laboratory tests show low hemoglobin levels indicating anemia.

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SOAP Note Guidelines for Diagnosing Mixed intestinal helminthiases (ICD-10 Code B81.4)

Assessment:

• Diagnosis: Mixed intestinal helminthiases, moderate severity.
• ICD-10 Code: B81.4.
• Contributing factors: Recent travel to endemic regions, poor sanitation.

Plan:

• Initiate treatment with albendazole and supportive care.
• Educate patient on hygiene and dietary modifications.
• Schedule follow-up in 2 weeks to monitor treatment response.

Treatment & Plan Section for ICD-10 Code B81.4 – Mixed intestinal helminthiases

• First-line pharmacologic treatment includes albendazole or mebendazole.
• Non-pharmacologic strategies involve improving sanitation and hygiene practices.
• Monitoring for treatment efficacy through follow-up stool examinations.
• Follow-up practices include assessing for resolution of symptoms and anemia.

Using ICD-10 Code B81.4 for Mixed intestinal helminthiases in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical findings and documentation.
• Ensure Subjective (S) and Objective (O) sections clearly reflect symptoms and findings.
• Align treatment plans with clinical guidelines to support justified billing.
• Document any relevant CPT codes that correspond with the services provided.

Related ICD-10 Codes Often Used with Mixed intestinal helminthiases

• B65.9 – Unspecified intestinal helminthiasis
• B82.9 – Unspecified parasitic disease
• A06.9 – Unspecified amebiasis
• B68.9 – Unspecified disease due to helminths

ICD-10 Code B81.4 in Medical Billing and Insurance for Mixed intestinal helminthiases

ICD-10 Code B81.4 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and clinical findings to support the diagnosis.
• Use the code in conjunction with other relevant codes for comprehensive billing.
• Ensure that treatment plans are clearly outlined in the medical record.

Common CPT Pairings: