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ICD-10 Code B87.81 | Genitourinary myiasis Symptoms, Diagnosis, Billing

Genitourinary myiasis is a parasitic infestation caused by fly larvae in the genitourinary tract. This condition can lead to significant morbidity if not promptly diagnosed and treated. The ICD-10 Code B87.81 facilitates accurate diagnosis, documentation, and billing, ensuring proper public health reporting and resource allocation.

What is ICD-10 Code B87.81 for Genitourinary myiasis?

ICD-10 Code B87.81 represents Genitourinary myiasis, a condition characterized by the presence of fly larvae in the genitourinary system. This code should be used when documenting cases of myiasis affecting the urinary tract or genital area, particularly in patients with risk factors such as poor hygiene or immunocompromised states.

ICD-10 Code B87.81 – Clinical Definition and Explanation of Genitourinary myiasis

Genitourinary myiasis is primarily caused by the infestation of fly larvae, often from species such as Dermatobia hominis or Cordylobia anthropophaga. The condition can progress rapidly, leading to severe complications, including infection and tissue necrosis, necessitating immediate medical intervention.

Key Clinical Features:

  • Presence of larvae in urine or genital secretions.
  • Localized pain or discomfort in the genital area.
  • Signs of inflammation or infection, such as erythema and swelling.
  • Possible systemic symptoms like fever or malaise.

ICD-10 Code B87.81 for Genitourinary myiasis – SOAP Notes & Clinical Use

In clinical workflows, ICD-10 Code B87.81 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.

What Does ICD-10 Code B87.81 for Genitourinary myiasis Mean in SOAP Notes?

ICD-10 Code B87.81 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Genitourinary myiasis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B87.81 – Genitourinary myiasis

Genitourinary myiasis requires prompt medical attention to prevent complications. Treatment may involve both pharmacological and supportive measures.

Antibiotic Therapy:

  • First-line: Metronidazole 500 mg orally three times daily for 7 days.
  • Alternative: Ciprofloxacin 500 mg orally twice daily for 7 days.
  • Consideration for broader-spectrum antibiotics if secondary infection is suspected.

Supportive Care:

  • Pain management with NSAIDs as needed.
  • Wound care and hygiene education to prevent secondary infections.
  • Monitoring for signs of systemic infection.

Infection Control:

  • Strict hand hygiene practices for healthcare providers.
  • Isolation precautions if there is a risk of transmission.
  • Education on prevention measures during outbreaks.

How to Document Symptoms of Genitourinary myiasis (ICD-10 B87.81) in SOAP Notes

Subjective:

  • Patient reports itching and discomfort in the genital area.
  • History of recent travel to endemic regions.
  • Complaints of unusual discharge or hematuria.
  • Denies any prior history of similar symptoms.

Objective:

  • Physical examination reveals erythema and swelling in the genital region.
  • Presence of larvae noted in urine sample.
  • Vital signs: Temperature 101°F, pulse 88 bpm.
  • Laboratory tests show leukocytosis.
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SOAP Note Guidelines for Diagnosing Genitourinary myiasis (ICD-10 Code B87.81)

Assessment:

  • Diagnosis: Genitourinary myiasis, moderate severity.
  • ICD-10 Code: B87.81.
  • Contributing factors: Poor hygiene, recent travel.
  • Consideration of secondary bacterial infection.

Plan:

  • Initiate metronidazole therapy as per guidelines.
  • Educate patient on hygiene practices and symptom monitoring.
  • Schedule follow-up in one week to assess treatment response.
  • Consider referral to urology if symptoms persist.

Treatment & Plan Section for ICD-10 Code B87.81 – Genitourinary myiasis

  • First-line antibiotic therapy with metronidazole.
  • Patient education on hygiene and prevention of recurrence.
  • Regular monitoring of symptoms and laboratory parameters.
  • Follow-up appointments to ensure resolution of infection.

Using ICD-10 Code B87.81 for Genitourinary myiasis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings.
  • Use B87.81 in appropriate clinical settings, including outpatient and inpatient care.
  • Align treatment plans with clinical guidelines to support billing.
  • Include relevant CPT codes for services rendered alongside B87.81.

ICD-10 Code B87.81 in Medical Billing and Insurance for Genitourinary myiasis

ICD-10 Code B87.81 is critical for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all relevant clinical findings to support the use of B87.81.
  • Ensure the code is used in conjunction with appropriate clinical services.
  • Include detailed notes on treatment plans and patient education.
  • Verify that all documentation aligns with payer requirements.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, level 3.
87070Culture, bacterial; any source.
36415Collection of venous blood by venipuncture.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B87.81 for Genitourinary myiasis

What are the common symptoms of Genitourinary myiasis?

Common symptoms include itching, discomfort in the genital area, unusual discharge, and the presence of larvae in urine. Patients may also experience localized pain and signs of inflammation.

How is Genitourinary myiasis treated?

Treatment typically involves antibiotic therapy, such as metronidazole, along with supportive care to manage symptoms and prevent complications. Prompt medical attention is crucial.

Is Genitourinary myiasis contagious?

Genitourinary myiasis is not contagious in the traditional sense; however, it can occur in individuals with poor hygiene or in specific environmental conditions that favor fly infestations.

When should ICD-10 Code B87.81 be used?

ICD-10 Code B87.81 should be used when documenting cases of myiasis affecting the genitourinary tract, particularly in patients presenting with relevant symptoms and risk factors.

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