ICD-10 Code D81.7 | Major histocompatibility complex class II deficiency Symptoms, Diagnosis, Billing

Major histocompatibility complex class II deficiency is a rare immunodeficiency disorder characterized by the absence or dysfunction of class II MHC molecules, leading to impaired T-cell activation and a heightened susceptibility to infections. This condition is critical for accurate diagnosis and management, as it informs treatment strategies and supports appropriate medical billing and public health reporting through ICD-10 Code D81.7.

What is ICD-10 Code D81.7 for Major histocompatibility complex class II deficiency?

ICD-10 Code D81.7 represents Major histocompatibility complex class II deficiency, a genetic disorder that affects the immune system's ability to respond to pathogens. This code should be used in clinical documentation and billing when diagnosing patients with this condition, ensuring accurate representation of the underlying immunodeficiency and facilitating appropriate treatment and management.

ICD-10 Code D81.7 – Clinical Definition and Explanation of Major histocompatibility complex class II deficiency

Major histocompatibility complex class II deficiency is primarily caused by genetic mutations affecting the expression of MHC class II molecules, which are essential for the activation of CD4+ T lymphocytes. The condition can lead to severe recurrent infections and requires prompt medical attention to manage complications effectively.

Key Clinical Features:

• Recurrent bacterial and viral infections
• Failure to thrive in infants
• Autoimmune manifestations
• Increased susceptibility to opportunistic infections

ICD-10 Code D81.7 for Major histocompatibility complex class II deficiency – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code D81.7 is utilized to document the diagnosis of Major histocompatibility complex class II deficiency, aiding in the assessment of symptoms, treatment plans, and follow-up care. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code D81.7 for Major histocompatibility complex class II deficiency Mean in SOAP Notes?

ICD-10 Code D81.7 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Major histocompatibility complex class II deficiency. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D81.7 – Major histocompatibility complex class II deficiency

Major histocompatibility complex class II deficiency often necessitates hospitalization for management of severe infections and immunological support. Treatment approaches may include:

Antibiotic Therapy:

• Intravenous immunoglobulin (IVIG) therapy
• Prophylactic antibiotics such as trimethoprim-sulfamethoxazole
• Consideration of antifungal agents in high-risk patients
• Duration based on clinical response and infection risk

Supportive Care:

• Regular monitoring for infections
• Nutritional support to promote growth
• Immunization with inactivated vaccines
• Education on infection prevention strategies

Infection Control:

• Strict hand hygiene practices
• Isolation precautions during outbreaks
• Prompt identification and treatment of infections
• Vaccination status assessment and updates

How to Document Symptoms of Major histocompatibility complex class II deficiency (ICD-10 D81.7) in SOAP Notes

Subjective:

• Patient reports recurrent infections requiring hospitalization
• History of failure to thrive and poor weight gain
• Family history of immunodeficiency disorders
• Patient experiences frequent respiratory illnesses

Objective:

• Vital signs: fever, tachycardia
• Physical examination reveals lymphadenopathy
• Laboratory tests show low CD4+ T-cell count
• Imaging studies indicate recurrent pneumonia

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SOAP Note Guidelines for Diagnosing Major histocompatibility complex class II deficiency (ICD-10 Code D81.7)

Assessment:

• Diagnosis: Major histocompatibility complex class II deficiency, severe
• ICD-10 Code: D81.7
• Triggers: Genetic mutation affecting MHC class II expression
• Complications: Increased risk of infections and autoimmune conditions

Plan:

• Initiate IVIG therapy to boost immune function
• Start prophylactic antibiotics to prevent infections
• Schedule regular follow-up appointments for monitoring
• Educate family on signs of infection and when to seek care

Treatment & Plan Section for ICD-10 Code D81.7 – Major histocompatibility complex class II deficiency

• Administer immunoglobulin therapy as indicated
• Implement infection prevention strategies
• Monitor growth and development closely
• Provide education on managing chronic infections

Using ICD-10 Code D81.7 for Major histocompatibility complex class II deficiency in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings
• Use D81.7 in conjunction with relevant procedure codes for billing
• Maintain compliance with coding guidelines for immunodeficiency disorders
• Document treatment plans that align with clinical guidelines to support billing

Related ICD-10 Codes Often Used with Major histocompatibility complex class II deficiency

• D81.6 – Major histocompatibility complex class I deficiency
• D80.9 – Immunodeficiency due to unspecified cause
• D83.9 – Common variable immunodeficiency, unspecified

ICD-10 Code D81.7 in Medical Billing and Insurance for Major histocompatibility complex class II deficiency

ICD-10 Code D81.7 is crucial for billing in hospital, emergency room, or infectious disease care settings, ensuring accurate representation of the patient's condition.

Billing Notes:

• Document all relevant clinical findings and treatment plans
• Use D81.7 in appropriate settings to support claims
• Ensure compliance with payer requirements for immunodeficiency coding
• Include detailed notes on patient history and management

Common CPT Pairings: