ICD-10 Code B86 | Scabies Symptoms, Diagnosis, Billing

Scabies is a highly contagious skin infestation caused by the Sarcoptes scabiei mite. It leads to intense itching and a rash, often worsening at night. Accurate coding with ICD-10 Code B86 is essential for proper diagnosis, documentation, and billing, facilitating effective treatment and public health reporting.

What is ICD-10 Code B86 for Scabies?

ICD-10 Code B86 specifically represents Scabies, a condition characterized by an infestation of the skin by the Sarcoptes scabiei mite. This code should be used in clinical documentation and billing when a patient presents with symptoms such as itching and rash, confirming the diagnosis of Scabies.

ICD-10 Code B86 – Clinical Definition and Explanation of Scabies

Scabies is caused by the infestation of the skin with the Sarcoptes scabiei mite, leading to an inflammatory response characterized by intense itching and a rash. It is crucial to seek medical attention to prevent secondary infections and manage symptoms effectively.

Key Clinical Features:

• Intense itching, especially at night.
• Rash with small red bumps or blisters.
• Burrows or tracks in the skin, often seen in web spaces of fingers.
• Secondary bacterial infections due to scratching.
• Highly contagious, spreading through close contact.

ICD-10 Code B86 for Scabies – SOAP Notes & Clinical Use

ICD-10 Code B86 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans for Scabies. It is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B86 for Scabies Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B86 connects subjective reports of itching and rash with objective clinical findings, facilitating a formal diagnosis of Scabies. This code supports continuity of care, billing accuracy, and adherence to EHR documentation standards.

Treatment Options for ICD-10 Code B86 – Scabies

Effective management of Scabies is essential to alleviate symptoms and prevent transmission. Treatment typically involves topical or oral medications.

Antibiotic Therapy:

• Permethrin cream 5% applied to the entire body, left on for 8-14 hours.
• Ivermectin 200 mcg/kg orally, repeated after 1-2 weeks if necessary.
• Benzyl benzoate lotion as an alternative topical treatment.

Supportive Care:

• Antihistamines for itching relief.
• Cool compresses to soothe irritated skin.
• Proper hygiene and laundering of clothing and bedding.

Infection Control:

• Avoid close contact with others until treatment is completed.
• Wash all clothing and bedding in hot water.
• Consider notifying close contacts for evaluation and treatment.

How to Document Symptoms of Scabies (ICD-10 B86) in SOAP Notes

Subjective:

• Patient reports severe itching, especially at night.
• History of close contact with someone diagnosed with Scabies.
• Complaints of rash and irritation in web spaces of fingers.
• No previous treatments attempted.

Objective:

• Physical examination reveals erythematous rash with papules.
• Burrows noted in the interdigital spaces.
• No signs of secondary infection observed.
• Vital signs stable.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

SOAP Note Guidelines for Diagnosing Scabies (ICD-10 Code B86)

Assessment:

• Diagnosis: Scabies (ICD-10 Code B86).
• Severity: Moderate, based on symptom intensity.
• Contributing factors: Recent exposure to an infected individual.
• No significant comorbidities noted.

Plan:

• Initiate treatment with permethrin cream 5%.
• Educate patient on proper application and hygiene measures.
• Schedule follow-up in one week to assess treatment efficacy.
• Advise on symptom management and prevention of spread.

Treatment & Plan Section for ICD-10 Code B86 – Scabies

• First-line treatment includes topical permethrin or oral ivermectin.
• Educate on the importance of treating all close contacts.
• Monitor for treatment response and potential side effects.
• Encourage regular follow-up to ensure resolution of symptoms.

Using ICD-10 Code B86 for Scabies in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and treatment in SOAP notes.
• Use B86 for all encounters related to Scabies diagnosis and management.
• Align treatment plans with clinical guidelines to support billing.
• Include relevant CPT codes for services rendered alongside B86.

Related ICD-10 Codes Often Used with Scabies

• B85.0 – Pediculosis capitis
• B85.1 – Pediculosis corporis
• B85.2 – Pediculosis pubis

ICD-10 Code B86 in Medical Billing and Insurance for Scabies

ICD-10 Code B86 is critical for billing in hospital, ER, or infectious disease settings, ensuring accurate reimbursement for services related to Scabies management.

Billing Notes:

• Document all relevant symptoms and treatment details to support claims.
• Use B86 in settings where Scabies is diagnosed or treated.
• Ensure compliance with payer-specific documentation requirements.
• Include patient education and follow-up plans in notes.

Common CPT Pairings: