ICD-10 Code C88.30 | Immunoproliferative small intestinal disease not remission Symptoms, Diagnosis, Billing

Immunoproliferative small intestinal disease not in remission is characterized by the uncontrolled proliferation of immune cells in the small intestine, leading to significant gastrointestinal symptoms and complications. This condition is clinically important as it can result in malabsorption, weight loss, and increased risk of infections. The ICD-10 Code C88.30 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code C88.30 for Immunoproliferative small intestinal disease not remission?

ICD-10 Code C88.30 represents Immunoproliferative small intestinal disease not in remission, a condition marked by the proliferation of immune cells in the small intestine. This code should be used when documenting cases where the disease is active and not in remission, indicating the need for ongoing treatment and monitoring. Accurate coding is essential for appropriate billing and to reflect the severity of the patient's condition.

ICD-10 Code C88.30 – Clinical Definition and Explanation of Immunoproliferative small intestinal disease not remission

Immunoproliferative small intestinal disease not in remission is caused by an abnormal immune response leading to the excessive growth of lymphoid tissue in the small intestine. This condition can progress to severe malabsorption and systemic complications, necessitating prompt medical attention.

Key Clinical Features:

• Chronic diarrhea and weight loss due to malabsorption.
• Abdominal pain and bloating as a result of intestinal inflammation.
• Increased susceptibility to infections due to immune dysfunction.
• Potential for intestinal obstruction or perforation in severe cases.

ICD-10 Code C88.30 for Immunoproliferative small intestinal disease not remission – SOAP Notes & Clinical Use

ICD-10 Code C88.30 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 ongoing condition and response to therapy.

What Does ICD-10 Code C88.30 for Immunoproliferative small intestinal disease not remission Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C88.30 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code C88.30 – Immunoproliferative small intestinal disease not remission

Management of Immunoproliferative small intestinal disease not in remission requires urgent medical intervention, often necessitating hospitalization for intensive treatment.

Antibiotic Therapy:

• First-line: Doxycycline 100 mg orally twice daily for 10-14 days.
• Alternative: Metronidazole 500 mg orally three times daily for 7-10 days.
• Consideration of prophylactic antibiotics in immunocompromised patients.

Supportive Care:

• Nutritional support through enteral feeding or parenteral nutrition as needed.
• Management of symptoms such as pain and diarrhea with appropriate medications.
• Regular monitoring of electrolyte levels and hydration status.

Infection Control:

• Strict hand hygiene practices to prevent nosocomial infections.
• Isolation precautions for patients with severe immunosuppression.
• Education on infection prevention strategies for patients and caregivers.

How to Document Symptoms of Immunoproliferative small intestinal disease not remission (ICD-10 C88.30) in SOAP Notes

Subjective:

• Patient reports persistent diarrhea for the past month.
• History of significant weight loss (10 lbs) over the last two months.
• Complaints of abdominal pain and bloating after meals.
• Increased fatigue and weakness noted by the patient.

Objective:

• Vital signs: BP 110/70 mmHg, HR 88 bpm, Temp 98.6°F.
• Abdominal examination reveals tenderness in the lower quadrants.
• Laboratory results show low serum albumin and electrolyte imbalances.
• Stool analysis indicates malabsorption with fat globules present.

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SOAP Note Guidelines for Diagnosing Immunoproliferative small intestinal disease not remission (ICD-10 Code C88.30)

Assessment:

• Diagnosis: Immunoproliferative small intestinal disease not in remission, moderate severity.
• ICD-10 Code: C88.30.
• Contributing factors include recent gastrointestinal infections and dietary indiscretion.
• Patient exhibits signs of malnutrition and dehydration.

Plan:

• Initiate pharmacologic treatment with corticosteroids to reduce inflammation.
• Provide nutritional counseling and initiate enteral feeding if necessary.
• Schedule follow-up in one week to reassess symptoms and laboratory values.
• Educate the patient on dietary modifications and symptom management.

Treatment & Plan Section for ICD-10 Code C88.30 – Immunoproliferative small intestinal disease not remission

• First-line pharmacologic treatments include corticosteroids and immunosuppressants.
• Non-pharmacologic strategies involve dietary modifications and nutritional support.
• Monitoring practices include regular follow-up appointments and laboratory tests.
• Patient education on recognizing symptoms of complications and when to seek care.

Using ICD-10 Code C88.30 for Immunoproliferative small intestinal disease not remission 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 C88.30 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Immunoproliferative small intestinal disease not remission

ICD-10 Code C88.30 in Medical Billing and Insurance for Immunoproliferative small intestinal disease not remission

ICD-10 Code C88.30 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation reflects the severity and complexity of the patient's condition.
• Use this code in conjunction with other relevant codes to capture the full clinical picture.
• Include key chart elements such as lab results and treatment plans to support claims.
• Document any complications or comorbidities that may affect treatment and billing.

Common CPT Pairings: