ICD-10 Code D76.2 | Hemophagocytic syndrome, infection-associated Symptoms, Diagnosis, Billing

Hemophagocytic syndrome, infection-associated is a severe immune response characterized by excessive activation of macrophages and T-cells, leading to hemophagocytosis. This condition is often triggered by infections, particularly viral, and can result in significant morbidity and mortality. Accurate coding with ICD-10 Code D76.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code D76.2 for Hemophagocytic syndrome, infection-associated?

ICD-10 Code D76.2 represents Hemophagocytic syndrome, infection-associated, a condition where the immune system becomes overly activated due to an infectious agent. This syndrome is associated with various underlying diseases, including viral infections, and should be used in clinical documentation when a patient presents with symptoms indicative of this syndrome, ensuring appropriate billing and treatment strategies.

ICD-10 Code D76.2 – Clinical Definition and Explanation of Hemophagocytic syndrome, infection-associated

Hemophagocytic syndrome, infection-associated is primarily caused by infections that lead to an uncontrolled immune response. This condition can progress rapidly, necessitating immediate medical attention to prevent severe complications such as multi-organ failure. Early recognition and intervention are critical for improving patient outcomes.

Key Clinical Features:

• Fever and cytopenias (anemia, thrombocytopenia, leukopenia)
• Hepatosplenomegaly
• Elevated ferritin and liver enzymes
• Cytological evidence of hemophagocytosis in bone marrow or lymph nodes

ICD-10 Code D76.2 for Hemophagocytic syndrome, infection-associated – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code D76.2 is utilized to document the diagnosis of Hemophagocytic syndrome, infection-associated. It plays a crucial role in capturing the patient's symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code D76.2 for Hemophagocytic syndrome, infection-associated Mean in SOAP Notes?

ICD-10 Code D76.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Hemophagocytic syndrome, infection-associated. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D76.2 – Hemophagocytic syndrome, infection-associated

Hemophagocytic syndrome, infection-associated often requires urgent hospitalization for management. Treatment may include specific therapies targeting the underlying infection and supportive care.

Antibiotic Therapy:

• First-line: Acyclovir for viral infections (7-10 days)
• Alternative: Ganciclovir for cytomegalovirus (7-14 days)
• Consideration of broad-spectrum antibiotics if bacterial infection is suspected
• Duration based on clinical response and pathogen identification

Supportive Care:

• Fluid resuscitation to maintain hydration
• Transfusion of blood products as needed
• Management of fever and pain
• Monitoring for organ dysfunction

Infection Control:

• Isolation precautions if infectious etiology is suspected
• Hand hygiene and use of personal protective equipment (PPE)
• Education on infection prevention measures for healthcare staff
• Surveillance for outbreaks in healthcare settings

How to Document Symptoms of Hemophagocytic syndrome, infection-associated (ICD-10 D76.2) in SOAP Notes

Subjective:

• Patient reports persistent fever and fatigue
• History of recent viral infection
• Complaints of easy bruising and bleeding
• Family history of autoimmune disorders

Objective:

• Temperature: 39°C
• CBC shows anemia, thrombocytopenia, and leukopenia
• Liver function tests reveal elevated AST and ALT
• Bone marrow biopsy shows hemophagocytosis

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SOAP Note Guidelines for Diagnosing Hemophagocytic syndrome, infection-associated (ICD-10 Code D76.2)

Assessment:

• Diagnosis: Hemophagocytic syndrome, infection-associated, moderate severity
• ICD-10 Code: D76.2
• Triggers: Recent viral infection, possible autoimmune component
• Consideration of differential diagnoses including malignancy

Plan:

• Initiate antiviral therapy based on suspected infection
• Provide supportive care including transfusions as needed
• Educate patient on signs of worsening condition
• Schedule follow-up in 1 week to reassess clinical status

Treatment & Plan Section for ICD-10 Code D76.2 – Hemophagocytic syndrome, infection-associated

• First-line treatment includes antiviral medications based on the identified pathogen
• Supportive care is critical, including hydration and blood product transfusions
• Monitoring for complications such as organ failure is essential
• Follow-up appointments should be scheduled to evaluate treatment efficacy and adjust as necessary

Using ICD-10 Code D76.2 for Hemophagocytic syndrome, infection-associated in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings to support the diagnosis
• Use D76.2 in appropriate clinical settings, including inpatient and outpatient care
• Align treatment plans with clinical guidelines to justify billing
• Include relevant CPT codes that correspond to the services provided

Related ICD-10 Codes Often Used with Hemophagocytic syndrome, infection-associated

• D76.1 – Hemophagocytic syndrome, familial
• B20 – HIV disease
• A69.9 – Unspecified bacterial infection

ICD-10 Code D76.2 in Medical Billing and Insurance for Hemophagocytic syndrome, infection-associated

ICD-10 Code D76.2 is crucial for billing purposes, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings and patient history to support the use of D76.2
• Use this code in conjunction with appropriate treatment codes for comprehensive billing
• Ensure that the diagnosis is clearly linked to the services provided in the medical record
• Review payer guidelines for specific documentation requirements related to D76.2

Common CPT Pairings: