ICD-10 Code D59.31 | Infection-associated hemolytic-uremic syndrome Symptoms, Diagnosis, Billing

Infection-associated hemolytic-uremic syndrome is a serious condition characterized by the triad of hemolytic anemia, acute renal failure, and thrombocytopenia, often triggered by infections, particularly those caused by certain strains of Escherichia coli. Accurate coding with ICD-10 Code D59.31 is essential for proper diagnosis, documentation, medical billing, and public health reporting, facilitating appropriate patient management and resource allocation.

What is ICD-10 Code D59.31 for Infection-associated hemolytic-uremic syndrome?

ICD-10 Code D59.31 represents Infection-associated hemolytic-uremic syndrome, a condition primarily resulting from infections that lead to hemolysis, renal impairment, and low platelet counts. This code should be used in clinical documentation when diagnosing patients with this syndrome, ensuring accurate billing and facilitating appropriate treatment protocols.

ICD-10 Code D59.31 – Clinical Definition and Explanation of Infection-associated hemolytic-uremic syndrome

Infection-associated hemolytic-uremic syndrome is often precipitated by bacterial infections, particularly those involving Shiga toxin-producing E. coli. The condition can lead to severe complications, including acute kidney injury, necessitating prompt medical intervention. Early recognition and treatment are crucial to improve patient outcomes.

Key Clinical Features:

• Hemolytic anemia characterized by fatigue and pallor.
• Acute renal failure presenting with oliguria or anuria.
• Thrombocytopenia leading to increased bleeding risk.
• Gastrointestinal symptoms such as diarrhea, often preceding the syndrome.

ICD-10 Code D59.31 for Infection-associated hemolytic-uremic syndrome – SOAP Notes & Clinical Use

ICD-10 Code D59.31 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It plays a vital role in both acute and chronic care settings, ensuring comprehensive documentation that supports clinical decision-making and billing processes.

What Does ICD-10 Code D59.31 for Infection-associated hemolytic-uremic syndrome Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D59.31 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Infection-associated hemolytic-uremic syndrome. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D59.31 – Infection-associated hemolytic-uremic syndrome

Infection-associated hemolytic-uremic syndrome often requires hospitalization for management due to the potential for rapid deterioration. Treatment focuses on addressing the underlying infection and supporting renal function.

Antibiotic Therapy:

• Ciprofloxacin: 7-14 days, depending on severity.
• Azithromycin: 5 days for atypical pathogens.
• Trimethoprim-sulfamethoxazole: 7-10 days for resistant cases.

Supportive Care:

• Fluid management to prevent dehydration.
• Blood transfusions for severe anemia.
• Dialysis for acute renal failure if indicated.

Infection Control:

• Strict hand hygiene to prevent transmission.
• Isolation precautions for infected patients.
• Education on food safety to prevent outbreaks.

How to Document Symptoms of Infection-associated hemolytic-uremic syndrome (ICD-10 D59.31) in SOAP Notes

Subjective:

• Patient reports fatigue and pallor.
• History of diarrhea preceding symptoms.
• Complaints of decreased urine output.
• Reports of easy bruising and bleeding.

Objective:

• Vital signs: elevated blood pressure, tachycardia.
• Laboratory findings: low hemoglobin, elevated creatinine.
• Platelet count: significantly decreased.
• Physical exam: signs of dehydration and pallor.

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SOAP Note Guidelines for Diagnosing Infection-associated hemolytic-uremic syndrome (ICD-10 Code D59.31)

Assessment:

• Diagnosis: Infection-associated hemolytic-uremic syndrome, moderate severity.
• ICD-10 Code: D59.31.
• Triggers: Recent gastrointestinal infection.
• Complications: Risk of acute renal failure.

Plan:

• Initiate antibiotic therapy based on culture results.
• Monitor renal function and electrolytes closely.
• Provide supportive care including hydration and transfusions.
• Schedule follow-up in 1 week to reassess renal function.

Treatment & Plan Section for ICD-10 Code D59.31 – Infection-associated hemolytic-uremic syndrome

• First-line pharmacologic treatments include antibiotics tailored to the causative organism.
• Non-pharmacologic strategies involve hydration and nutritional support.
• Monitoring renal function and blood counts is essential for managing complications.
• Follow-up appointments should be scheduled to evaluate recovery and renal status.

Using ICD-10 Code D59.31 for Infection-associated hemolytic-uremic syndrome 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 D59.31 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Infection-associated hemolytic-uremic syndrome

• D59.30 – Hemolytic-uremic syndrome, unspecified
• A00.0 – Cholera due to Vibrio cholerae

ICD-10 Code D59.31 in Medical Billing and Insurance for Infection-associated hemolytic-uremic syndrome

ICD-10 Code D59.31 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Ensure thorough documentation of clinical findings and treatment plans to support the ICD-10 claim.
• Use this code in acute care settings where immediate intervention is required.
• Document any complications or comorbidities that may affect billing.

Common CPT Pairings: