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ICD-10 Code B85.0 | Pediculosis due to Pediculus humanus capitis Symptoms, Diagnosis, Billing

Pediculosis due to Pediculus humanus capitis is a common infestation caused by head lice, which are parasitic insects that feed on human blood. This condition is clinically significant due to its potential for causing itching, secondary infections, and social stigma. Accurate coding with ICD-10 Code B85.0 facilitates proper diagnosis, documentation, medical billing, and public health reporting, ensuring effective management and treatment.

What is ICD-10 Code B85.0 for Pediculosis due to Pediculus humanus capitis?

ICD-10 Code B85.0 represents Pediculosis due to Pediculus humanus capitis, indicating an infestation of the scalp by head lice. This code is used in clinical documentation and billing when diagnosing patients with head lice, which can lead to significant discomfort and potential complications if left untreated.

ICD-10 Code B85.0 – Clinical Definition and Explanation of Pediculosis due to Pediculus humanus capitis

Pediculosis due to Pediculus humanus capitis is caused by the infestation of the scalp with head lice, which are transmitted through direct head-to-head contact. The condition can lead to intense itching and secondary infections, necessitating medical attention for effective treatment and prevention of spread.

Key Clinical Features:

  • Intense itching of the scalp, often leading to scratching.
  • Visible nits (lice eggs) or adult lice in the hair.
  • Possible secondary bacterial infections due to scratching.
  • Commonly affects children, especially in school settings.

ICD-10 Code B85.0 for Pediculosis due to Pediculus humanus capitis – SOAP Notes & Clinical Use

ICD-10 Code B85.0 is utilized in SOAP notes to document the presence of head lice, aiding in the assessment of symptoms, diagnosis, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B85.0 for Pediculosis due to Pediculus humanus capitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B85.0 connects subjective reports of itching and discomfort with objective findings of lice infestation, facilitating a formal diagnosis. This code supports continuity of care, assists in billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B85.0 – Pediculosis due to Pediculus humanus capitis

Prompt treatment of Pediculosis due to Pediculus humanus capitis is essential to alleviate symptoms and prevent transmission. Treatment typically involves topical insecticides and supportive care.

Antibiotic Therapy:

  • Permethrin 1% cream rinse applied to the scalp for 10 minutes.
  • Malathion 0.5% lotion applied to dry hair for 8-12 hours.
  • Benzyl alcohol 5% lotion applied to the scalp for 10 minutes.

Supportive Care:

  • Regular combing with a fine-toothed nit comb to remove lice and nits.
  • Washing bedding and clothing in hot water to eliminate lice.
  • Educating patients on avoiding head-to-head contact.

Infection Control:

  • Avoid sharing personal items like hats and hairbrushes.
  • Notify close contacts to check for lice and treat if necessary.
  • Implement school policies for managing outbreaks.

How to Document Symptoms of Pediculosis due to Pediculus humanus capitis (ICD-10 B85.0) in SOAP Notes

Subjective:

  • Patient reports severe itching on the scalp.
  • History of close contact with other children at school.
  • Complaints of discomfort and difficulty sleeping due to itching.
  • No previous treatments attempted for lice.

Objective:

  • Physical examination reveals live lice and nits in the hair.
  • No signs of secondary infection noted.
  • Scalp appears erythematous due to scratching.
  • Vital signs within normal limits.
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SOAP Note Guidelines for Diagnosing Pediculosis due to Pediculus humanus capitis (ICD-10 Code B85.0)

Assessment:

  • Diagnosis: Pediculosis due to Pediculus humanus capitis, mild severity.
  • ICD-10 Code: B85.0.
  • Contributing factors: Close contact with infested individuals.
  • No significant comorbidities noted.

Plan:

  • Initiate treatment with permethrin 1% cream rinse.
  • Educate patient on proper application and follow-up care.
  • Schedule follow-up in one week to assess treatment efficacy.
  • Advise on preventive measures to avoid reinfestation.

Treatment & Plan Section for ICD-10 Code B85.0 – Pediculosis due to Pediculus humanus capitis

  • First-line treatment includes topical insecticides like permethrin.
  • Non-pharmacologic strategies include thorough combing and hygiene practices.
  • Monitoring for treatment efficacy and potential reinfestation is essential.
  • Follow-up appointments should be scheduled to ensure resolution.

Using ICD-10 Code B85.0 for Pediculosis due to Pediculus humanus capitis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and treatment in SOAP notes.
  • Use B85.0 in settings such as outpatient clinics and emergency departments.
  • Include detailed patient education and follow-up plans to support billing.
  • Align treatment plans with clinical guidelines for justified billing.

ICD-10 Code B85.0 in Medical Billing and Insurance for Pediculosis due to Pediculus humanus capitis

ICD-10 Code B85.0 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

  • Document all relevant symptoms and treatment details to support claims.
  • Use B85.0 in conjunction with other codes for comprehensive billing.
  • Ensure compliance with payer guidelines for accurate reimbursement.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, low complexity.
97597Removal of foreign body from skin, simple.
99203New patient office visit, moderate complexity.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B85.0 for Pediculosis due to Pediculus humanus capitis

How is Pediculosis due to Pediculus humanus capitis transmitted?

Pediculosis is primarily transmitted through direct head-to-head contact, making it common in settings where individuals are in close proximity, such as schools and daycare centers.

What are the symptoms of Pediculosis due to Pediculus humanus capitis?

Symptoms include intense itching of the scalp, visible lice or nits in the hair, and potential secondary infections from scratching.

What treatments are available for Pediculosis due to Pediculus humanus capitis?

Treatment options include topical insecticides like permethrin and supportive measures such as combing and hygiene practices to prevent reinfestation.

When should I seek medical attention for Pediculosis due to Pediculus humanus capitis?

Medical attention should be sought if over-the-counter treatments fail, if there are signs of secondary infection, or if the infestation persists despite treatment.

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