ICD-10 Code B87.4 | Aural myiasis Symptoms, Diagnosis, Billing

Aural myiasis is an infestation of the external ear canal by fly larvae, commonly caused by species such as Cochliomyia hominivorax. This condition can lead to significant discomfort, potential hearing loss, and secondary infections. Accurate coding with ICD-10 Code B87.4 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code B87.4 for Aural myiasis?

ICD-10 Code B87.4 specifically denotes Aural myiasis, characterized by the presence of fly larvae in the ear canal. This condition may arise from poor hygiene or exposure to contaminated environments. The code should be utilized in clinical documentation and billing when diagnosing patients with this infestation, facilitating appropriate treatment and resource allocation.

ICD-10 Code B87.4 – Clinical Definition and Explanation of Aural myiasis

Aural myiasis is primarily caused by the infestation of the ear canal with fly larvae, which can lead to tissue damage and infection. Prompt medical attention is necessary to prevent complications such as otitis media or systemic infection.

Key Clinical Features:

• Presence of larvae in the ear canal, often visible upon examination.
• Symptoms may include ear pain, itching, and discharge.
• Potential for secondary bacterial infections due to tissue damage.
• Commonly seen in individuals with poor hygiene or in tropical regions.

ICD-10 Code B87.4 for Aural myiasis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code B87.4 is utilized to document the diagnosis of Aural myiasis, aiding in the assessment of symptoms, treatment plans, and follow-up care. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code B87.4 for Aural myiasis Mean in SOAP Notes?

ICD-10 Code B87.4 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of Aural myiasis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B87.4 – Aural myiasis

Aural myiasis requires prompt treatment to prevent complications and alleviate symptoms. Hospitalization may be necessary in severe cases.

Antibiotic Therapy:

• First-line: Topical antibiotics such as bacitracin or neomycin.
• Alternative: Oral antibiotics like amoxicillin-clavulanate for secondary infections.
• Duration: Typically 7-10 days, depending on severity.

Supportive Care:

• Manual removal of larvae by a healthcare professional.
• Pain management with analgesics as needed.
• Regular cleaning of the ear canal to prevent further infestation.

Infection Control:

• Implement standard precautions to prevent cross-contamination.
• Educate patients on hygiene practices to reduce risk.
• Monitor for signs of secondary infections during treatment.

How to Document Symptoms of Aural myiasis (ICD-10 B87.4) in SOAP Notes

Subjective:

• Patient reports ear pain and itching.
• Discharge from the ear noted by the patient.
• History of exposure to contaminated environments.
• Patient expresses concern about hearing loss.

Objective:

• Visible larvae in the external ear canal upon examination.
• Erythema and swelling of the ear canal.
• Purulent discharge observed.
• Vital signs stable, no fever noted.

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SOAP Note Guidelines for Diagnosing Aural myiasis (ICD-10 Code B87.4)

Assessment:

• Diagnosis: Aural myiasis, moderate severity.
• ICD-10 Code: B87.4.
• Contributing factors: Poor hygiene and exposure to contaminated environments.
• Potential complications include secondary infections.

Plan:

• Initiate manual removal of larvae under sterile conditions.
• Prescribe topical antibiotics and pain management.
• Educate patient on hygiene practices and follow-up care.
• Schedule follow-up appointment in one week to reassess.

Treatment & Plan Section for ICD-10 Code B87.4 – Aural myiasis

• First-line pharmacologic treatment includes topical antibiotics.
• Non-pharmacologic strategies involve manual removal of larvae and ear cleaning.
• Monitoring for secondary infections is essential during treatment.
• Follow-up appointments should be scheduled to ensure resolution of symptoms.

Using ICD-10 Code B87.4 for Aural myiasis in Billing & SOAP Note Compliance

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

Related ICD-10 Codes Often Used with Aural myiasis

• B87.0 – Cutaneous myiasis
• B87.1 – Ocular myiasis
• B87.2 – Nasal myiasis
• B87.3 – Intestinal myiasis

ICD-10 Code B87.4 in Medical Billing and Insurance for Aural myiasis

ICD-10 Code B87.4 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure thorough documentation of the diagnosis and treatment plan.
• Use the code in conjunction with relevant clinical findings for accurate billing.
• Include patient history and symptomatology to support the claim.
• Document any complications or secondary infections for comprehensive billing.

Common CPT Pairings: