Unspecified Shiga toxin-producing Escherichia coli (STEC) is a pathogenic strain of E. coli that can cause severe gastrointestinal illness, including diarrhea and abdominal cramps. The clinical significance of this condition lies in its potential to lead to serious complications such as hemolytic uremic syndrome (HUS). Accurate coding with ICD-10 Code B96.23 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage outbreaks effectively.
What is ICD-10 Code B96.23 for Unsp shig tox E coli [STEC] causing diseases classd elswhr?
ICD-10 Code B96.23 represents an unspecified infection caused by Shiga toxin-producing Escherichia coli (STEC). This condition is associated with gastrointestinal diseases and can lead to severe complications. The code should be used when documenting cases of STEC infection that do not specify the exact strain or complication, ensuring accurate billing and clinical documentation in healthcare settings.
ICD-10 Code B96.23 – Clinical Definition and Explanation of Unsp shig tox E coli [STEC] causing diseases classd elswhr
Unspecified Shiga toxin-producing E. coli (STEC) infections are primarily caused by the ingestion of contaminated food or water. The condition can progress rapidly, leading to severe gastrointestinal symptoms and potential complications that necessitate medical intervention. Prompt recognition and treatment are crucial to prevent serious outcomes.
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 B96.23 for Unsp shig tox E coli [STEC] causing diseases classd elswhr – SOAP Notes & Clinical Use
In clinical workflows, ICD-10 Code B96.23 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute care settings, where immediate intervention is required, and chronic care settings for ongoing management of complications.
What Does ICD-10 Code B96.23 for Unsp shig tox E coli [STEC] causing diseases classd elswhr Mean in SOAP Notes?
In SOAP notes, ICD-10 Code B96.23 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of STEC infection. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code B96.23 – Unsp shig tox E coli [STEC] causing diseases classd elswhr
Management of unspecified Shiga toxin-producing E. coli infections requires prompt medical attention to prevent complications. Treatment may include antibiotic therapy and supportive care.
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 hemolytic uremic syndrome (HUS)
Infection Control:
- Strict hand hygiene practices
- Isolation of infected patients during outbreaks
- Education on food safety and hygiene
How to Document Symptoms of Unsp shig tox E coli [STEC] causing diseases classd elswhr (ICD-10 B96.23) in SOAP Notes
Subjective:
- Patient reports sudden onset of diarrhea, described as watery and bloody.
- Complains of severe abdominal cramps and nausea.
- History of recent consumption of undercooked ground beef.
- Experiencing fatigue and mild fever.
Objective:
- Vital signs: Temperature 101°F, HR 90 bpm, BP 110/70 mmHg.
- Abdominal examination reveals tenderness in the lower quadrants.
- Stool sample shows presence of Shiga toxin.
- Laboratory tests indicate mild leukocytosis.
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SOAP Note Guidelines for Diagnosing Unsp shig tox E coli [STEC] causing diseases classd elswhr (ICD-10 Code B96.23)
Assessment:
- Diagnosis: Unspecified Shiga toxin-producing E. coli infection, moderate severity.
- ICD-10 Code: B96.23.
- Common triggers: Consumption of contaminated food.
- Consideration of potential complications such as HUS.
Plan:
- Initiate hydration therapy and monitor fluid status.
- Prescribe ciprofloxacin for antibiotic treatment.
- Educate patient on dietary modifications and hygiene practices.
- Schedule follow-up in 48 hours to reassess symptoms.
Treatment & Plan Section for ICD-10 Code B96.23 – Unsp shig tox E coli [STEC] causing diseases classd elswhr
- First-line pharmacologic treatment includes ciprofloxacin or azithromycin.
- Non-pharmacologic strategies involve hydration and dietary adjustments.
- Monitoring for signs of dehydration and HUS is essential.
- Follow-up appointments should be scheduled to evaluate recovery.
Using ICD-10 Code B96.23 for Unsp shig tox E coli [STEC] causing diseases classd elswhr in Billing & SOAP Note Compliance
- Select appropriate ICD-10 code based on clinical presentation and severity.
- Document all 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 to the services provided.
Related ICD-10 Codes Often Used with Unsp shig tox E coli [STEC] causing diseases classd elswhr
- A04.0 – Shigellosis
- A05.0 – Other bacterial foodborne intoxications
- A09 – Diarrhea of unspecified origin
ICD-10 Code B96.23 in Medical Billing and Insurance for Unsp shig tox E coli [STEC] causing diseases classd elswhr
ICD-10 Code B96.23 is critical for accurate billing in hospital, emergency room, or infectious disease care settings.
Billing Notes:
- Ensure documentation includes specific symptoms and treatment details.
- Use this code in conjunction with other relevant codes for comprehensive billing.
- Highlight key chart elements such as lab results and treatment plans.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, Level 3. |
| 87556 | Infectious agent detection by nucleic acid (DNA or RNA); enteric pathogens. |
| 96360 | Intravenous infusion, hydration. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code B96.23 for Unsp shig tox E coli [STEC] causing diseases classd elswhr
What are the common symptoms of STEC infection?
Common symptoms of STEC infection include severe abdominal cramps, diarrhea (often bloody), nausea, and vomiting. Patients may also experience fever and fatigue, which can indicate the severity of the infection.
How is STEC infection diagnosed?
STEC infection is diagnosed through stool tests that detect the presence of Shiga toxin or the bacteria itself. Clinical history, including recent food consumption, is also considered in the diagnosis.
What is the treatment for STEC infection?
Treatment for STEC infection primarily involves supportive care, including hydration and electrolyte management. Antibiotics are used cautiously, as they may increase the risk of complications like hemolytic uremic syndrome.
Is STEC infection contagious?
STEC infection is not spread from person to person but can be contracted through contaminated food or water. Proper food handling and hygiene practices are essential to prevent outbreaks.
