ICD-10 Code B95.2 | Enterococcus as the cause of diseases classified elsewhere Symptoms, Diagnosis, Billing

Enterococcus is a genus of bacteria that can cause infections in various parts of the body, often leading to diseases classified elsewhere in the ICD-10 system. The accurate assignment of ICD-10 Code B95.2 is crucial for proper diagnosis, documentation, and billing, as it allows healthcare providers to identify Enterococcus as a contributing factor to other diseases, ensuring appropriate treatment and public health reporting.

What is ICD-10 Code B95.2 for Enterococcus as the cause of diseases classified elsewhere?

ICD-10 Code B95.2 specifically identifies Enterococcus as the causative agent of diseases that are classified in other sections of the ICD-10 coding system. This code is used when Enterococcus is implicated in infections or complications related to other conditions, ensuring accurate clinical documentation and facilitating appropriate billing practices.

ICD-10 Code B95.2 – Clinical Definition and Explanation of Enterococcus as the cause of diseases classified elsewhere

Enterococcus is a type of bacteria commonly found in the gastrointestinal tract, which can lead to infections in various body systems, particularly in immunocompromised patients. Its presence as a causative agent necessitates medical attention due to the potential for serious complications.

Key Clinical Features:

• Commonly associated with urinary tract infections and endocarditis.
• Can lead to nosocomial infections, particularly in hospital settings.
• Often resistant to multiple antibiotics, complicating treatment.
• May present with fever, chills, and localized symptoms depending on the infection site.

ICD-10 Code B95.2 for Enterococcus as the cause of diseases classified elsewhere – SOAP Notes & Clinical Use

ICD-10 Code B95.2 is utilized in SOAP notes to document the presence of Enterococcus as a contributing factor to other diseases. This code aids in the assessment of symptoms, guiding treatment decisions, and ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code B95.2 for Enterococcus as the cause of diseases classified elsewhere Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B95.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Enterococcus-related disease. This linkage is essential for continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B95.2 – Enterococcus as the cause of diseases classified elsewhere

Prompt treatment is essential for infections caused by Enterococcus, particularly in vulnerable populations. Antibiotic therapy is often required, along with supportive care to manage symptoms.

Antibiotic Therapy:

• First-line: Ampicillin or Vancomycin, typically for 7-14 days depending on the infection severity.
• Alternative: Linezolid or Daptomycin for resistant strains.
• Consideration of susceptibility testing is crucial for effective treatment.

Supportive Care:

• Hydration and electrolyte management.
• Pain management as needed.
• Monitoring for signs of systemic infection or sepsis.

Infection Control:

• Strict hand hygiene protocols to prevent transmission.
• Isolation precautions for hospitalized patients with confirmed infections.
• Education on infection prevention for patients and healthcare workers.

How to Document Symptoms of Enterococcus as the cause of diseases classified elsewhere (ICD-10 B95.2) in SOAP Notes

Subjective:

• Patient reports fever and chills over the past 48 hours.
• Complaints of dysuria and increased urinary frequency.
• History of recent hospitalization or antibiotic use.

Objective:

• Vital signs: Temperature 101°F, heart rate 110 bpm.
• Physical exam reveals suprapubic tenderness.
• Urinalysis shows presence of bacteria and white blood cells.

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SOAP Note Guidelines for Diagnosing Enterococcus as the cause of diseases classified elsewhere (ICD-10 Code B95.2)

Assessment:

• Diagnosis: Urinary tract infection secondary to Enterococcus, moderate severity.
• ICD-10 Code: B95.2.
• Contributing factors: Recent antibiotic therapy and hospitalization.

Plan:

• Initiate antibiotic therapy with Ampicillin.
• Educate patient on hydration and symptom monitoring.
• Schedule follow-up in 1 week to reassess symptoms and response to treatment.

Treatment & Plan Section for ICD-10 Code B95.2 – Enterococcus as the cause of diseases classified elsewhere

• First-line pharmacologic treatment with appropriate antibiotics based on susceptibility.
• Non-pharmacologic strategies include hydration and rest.
• Monitoring for treatment efficacy through follow-up cultures.
• Patient education on recognizing worsening symptoms and when to seek care.

Using ICD-10 Code B95.2 for Enterococcus as the cause of diseases classified elsewhere in Billing & SOAP Note Compliance

• Select accurate subcodes based on clinical severity or complications.
• Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Only list CPT codes that are commonly billed with ICD-10 Code B95.2 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Enterococcus as the cause of diseases classified elsewhere

• A41.9 – Sepsis, unspecified organism

ICD-10 Code B95.2 in Medical Billing and Insurance for Enterococcus as the cause of diseases classified elsewhere

ICD-10 Code B95.2 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes the specific role of Enterococcus in the patient's condition.
• Use this code in conjunction with primary diagnosis codes to support claims.
• Highlight any complications or comorbidities related to Enterococcus infections.

Common CPT Pairings: