Shiga toxin-producing Escherichia coli (STEC) O157 is a pathogenic strain of E. coli that can cause severe gastrointestinal illness, including diarrhea, abdominal cramps, and vomiting. The condition is clinically significant due to its potential to lead to serious complications such as hemolytic uremic syndrome (HUS). The ICD-10 Code B96.21 facilitates accurate diagnosis, documentation, and billing, ensuring proper public health reporting and resource allocation.
What is ICD-10 Code B96.21 for Shig tox E coli [STEC] O157 causing diseases classd elswhr?
ICD-10 Code B96.21 represents infections caused by Shiga toxin-producing E. coli (STEC) O157, which can lead to gastrointestinal diseases. This code is used when documenting cases of STEC-related illnesses, particularly when associated with complications such as HUS. It is essential for accurate clinical documentation and billing in healthcare settings.
ICD-10 Code B96.21 – Clinical Definition and Explanation of Shig tox E coli [STEC] O157 causing diseases classd elswhr
Shiga toxin-producing E. coli (STEC) O157 is primarily transmitted through contaminated food or water. The infection can progress rapidly, leading to severe gastrointestinal symptoms and potential life-threatening complications. Prompt medical attention is crucial for managing the condition effectively.
Key Clinical Features:
- Acute onset of diarrhea, often bloody
- Severe abdominal cramps and pain
- Nausea and vomiting
- Potential development of hemolytic uremic syndrome (HUS)
ICD-10 Code B96.21 for Shig tox E coli [STEC] O157 causing diseases classd elswhr – SOAP Notes & Clinical Use
In SOAP notes, ICD-10 Code B96.21 is utilized to document the diagnosis of STEC O157 infections. It plays a vital role in capturing patient symptoms, assessments, and treatment plans, relevant in both acute and chronic care settings.
What Does ICD-10 Code B96.21 for Shig tox E coli [STEC] O157 causing diseases classd elswhr Mean in SOAP Notes?
ICD-10 Code B96.21 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of STEC O157 infection. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code B96.21 – Shig tox E coli [STEC] O157 causing diseases classd elswhr
Management of STEC O157 infections requires prompt intervention to prevent complications. Hospitalization may be necessary for severe cases.
Antibiotic Therapy:
- Ciprofloxacin: 7-14 days
- Azithromycin: 5 days
- Trimethoprim-sulfamethoxazole: 7-14 days
Supportive Care:
- Hydration therapy to prevent dehydration
- Electrolyte replacement as needed
- Monitoring for signs of HUS
Infection Control:
- Strict hand hygiene practices
- Isolation precautions during outbreaks
- Education on food safety and hygiene
How to Document Symptoms of Shig tox E coli [STEC] O157 causing diseases classd elswhr (ICD-10 B96.21) in SOAP Notes
Subjective:
- Patient reports sudden onset of diarrhea, described as bloody
- Complains of severe abdominal pain and cramping
- Nausea and occasional vomiting noted
- Recent history of consuming undercooked ground beef
Objective:
- Vital signs: BP 110/70 mmHg, HR 95 bpm, Temp 100.4°F
- Abdominal tenderness on palpation, especially in the lower quadrants
- Stool sample positive for STEC O157
- Signs of dehydration observed
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SOAP Note Guidelines for Diagnosing Shig tox E coli [STEC] O157 causing diseases classd elswhr (ICD-10 Code B96.21)
Assessment:
- Diagnosis: Shiga toxin-producing E. coli (STEC) O157 infection, moderate severity
- ICD-10 Code: B96.21
- Contributing factors: Recent consumption of contaminated food
- Risk of developing hemolytic uremic syndrome (HUS)
Plan:
- Initiate hydration therapy and monitor fluid balance
- Consider antibiotic therapy based on severity
- Educate patient on dietary restrictions and hygiene practices
- Schedule follow-up to monitor for complications
Treatment & Plan Section for ICD-10 Code B96.21 – Shig tox E coli [STEC] O157 causing diseases classd elswhr
- First-line antibiotic treatment: Ciprofloxacin or Azithromycin
- Non-pharmacologic strategies: Encourage fluid intake and rest
- Monitoring practices: Daily weight checks and hydration status
- Follow-up appointments to assess recovery and complications
Using ICD-10 Code B96.21 for Shig tox E coli [STEC] O157 causing diseases classd elswhr in Billing & SOAP Note Compliance
- Select appropriate ICD-10 code based on clinical findings and symptoms
- Document all relevant subjective and objective data in SOAP notes
- Ensure treatment plans align with clinical guidelines for justified billing
- Use CPT codes that correspond to the services provided during the visit
Related ICD-10 Codes Often Used with Shig tox E coli [STEC] O157 causing diseases classd elswhr
ICD-10 Code B96.21 in Medical Billing and Insurance for Shig tox E coli [STEC] O157 causing diseases classd elswhr
ICD-10 Code B96.21 is critical for accurate billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant patient history and clinical findings to support the diagnosis.
- Use this code in conjunction with other relevant codes for comprehensive billing.
- Ensure that the documentation reflects the severity and complexity of the case.
- Review payer-specific guidelines for coding and billing requirements.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, low complexity |
| 87556 | Infectious agent detection by nucleic acid (DNA or RNA); enteric pathogens |
| 96360 | Intravenous infusion, hydration; initial, up to 1 hour |
| 36415 | Collection of venous blood by venipuncture |
Frequently Asked Questions
Common Questions About Using ICD-10 Code B96.21 for Shig tox E coli [STEC] O157 causing diseases classd elswhr
What are the common symptoms of STEC O157 infection?
Common symptoms include severe abdominal cramps, diarrhea (often bloody), nausea, and vomiting. Symptoms typically appear 3-10 days after exposure to the bacteria.
How is STEC O157 transmitted?
STEC O157 is primarily transmitted through contaminated food or water, particularly undercooked ground beef, unpasteurized milk, and raw vegetables. Person-to-person transmission can also occur.
What complications can arise from STEC O157 infection?
Complications may include hemolytic uremic syndrome (HUS), which can lead to kidney failure, anemia, and low platelet counts. Prompt medical attention is crucial to manage these risks.
When should I use ICD-10 Code B96.21?
ICD-10 Code B96.21 should be used when documenting cases of STEC O157 infection, particularly when associated with gastrointestinal symptoms or complications like HUS.
