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ICD-10 Code D81.810 | Biotinidase deficiency Symptoms, Diagnosis, Billing

Biotinidase deficiency is a rare inherited metabolic disorder caused by a deficiency of the enzyme biotinidase, which is essential for the recycling of biotin, a B-vitamin. This condition leads to a range of clinical manifestations, including neurological impairment, skin rashes, and immunodeficiency. Accurate coding with ICD-10 Code D81.810 is crucial for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that affected individuals receive appropriate care and management.

What is ICD-10 Code D81.810 for Biotinidase deficiency?

ICD-10 Code D81.810 represents Biotinidase deficiency, a genetic disorder characterized by the body's inability to recycle biotin due to a deficiency in the enzyme biotinidase. This code should be used in clinical documentation and billing when diagnosing patients with this condition, particularly when symptoms such as neurological issues or skin problems are present, ensuring accurate representation of the patient's health status.

ICD-10 Code D81.810 – Clinical Definition and Explanation of Biotinidase deficiency

Biotinidase deficiency is caused by mutations in the BTD gene, leading to a deficiency of the biotinidase enzyme. This condition can progress to severe neurological and immunological complications if left untreated, necessitating prompt medical attention and intervention.

Key Clinical Features:

  • Neurological symptoms such as seizures and developmental delay.
  • Skin manifestations including dermatitis and alopecia.
  • Immunodeficiency leading to increased susceptibility to infections.
  • Metabolic abnormalities detectable through newborn screening.

ICD-10 Code D81.810 for Biotinidase deficiency – SOAP Notes & Clinical Use

ICD-10 Code D81.810 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with Biotinidase deficiency. This code plays a vital role in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management.

What Does ICD-10 Code D81.810 for Biotinidase deficiency Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D81.810 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Biotinidase deficiency. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D81.810 – Biotinidase deficiency

Biotinidase deficiency requires urgent medical intervention, often necessitating hospitalization for severe cases. Treatment primarily involves biotin supplementation to manage symptoms and prevent complications.

Antibiotic Therapy:

  • Not applicable as Biotinidase deficiency is not an infectious condition.

Supportive Care:

  • Regular monitoring of biotin levels and neurological status.
  • Nutritional support to ensure adequate biotin intake.
  • Management of skin conditions with topical treatments.

Infection Control:

  • Standard precautions to prevent infections in immunocompromised patients.

How to Document Symptoms of Biotinidase deficiency (ICD-10 D81.810) in SOAP Notes

Subjective:

  • Patient reports developmental delays and seizures.
  • History of recurrent skin rashes and hair loss.
  • Family history of metabolic disorders.

Objective:

  • Neurological examination reveals developmental delays.
  • Skin examination shows dermatitis and alopecia.
  • Laboratory tests indicate low biotin levels.
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SOAP Note Guidelines for Diagnosing Biotinidase deficiency (ICD-10 Code D81.810)

Assessment:

  • Diagnosis of Biotinidase deficiency confirmed.
  • Severity classified as moderate based on clinical presentation.
  • Family history and metabolic screening noted as contributing factors.

Plan:

  • Initiate biotin supplementation at recommended doses.
  • Educate family on dietary sources of biotin.
  • Schedule follow-up appointments for monitoring and reassessment.

Treatment & Plan Section for ICD-10 Code D81.810 – Biotinidase deficiency

  • First-line treatment includes high-dose biotin supplementation.
  • Non-pharmacologic strategies involve dietary modifications to include biotin-rich foods.
  • Monitoring of neurological development and skin condition is essential.
  • Regular follow-up visits to assess treatment efficacy and adjust dosages.

Using ICD-10 Code D81.810 for Biotinidase deficiency in Billing & SOAP Note Compliance

  • Ensure clear documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
  • Use the code in conjunction with appropriate CPT codes for laboratory tests and consultations.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Document any complications or additional diagnoses that may require separate coding.

    ICD-10 Code D81.810 in Medical Billing and Insurance for Biotinidase deficiency

    ICD-10 Code D81.810 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

    Billing Notes:

    • Document all relevant clinical findings to support the use of this code.
    • Ensure the code is used in appropriate settings to avoid claim denials.
    • Include detailed notes on treatment plans and patient education efforts.

    Common CPT Pairings:

    CPT CodeDescription
    83000Biotin level test.
    99213Established patient office visit, level 3.
    99406Smoking and tobacco use cessation counseling visit.

    Frequently Asked Questions

    Common Questions About Using ICD-10 Code D81.810 for Biotinidase deficiency

    What are the symptoms of Biotinidase deficiency?

    Symptoms of Biotinidase deficiency can include neurological issues such as seizures, developmental delays, skin rashes, and hair loss. Early diagnosis and treatment are crucial to prevent severe complications.

    How is Biotinidase deficiency diagnosed?

    Diagnosis is typically made through newborn screening tests that measure biotin levels and confirm the deficiency through genetic testing. Clinical symptoms also play a significant role in diagnosis.

    What is the treatment for Biotinidase deficiency?

    The primary treatment for Biotinidase deficiency is high-dose biotin supplementation. Regular monitoring and supportive care are also essential to manage symptoms and prevent complications.

    Is Biotinidase deficiency hereditary?

    Yes, Biotinidase deficiency is an autosomal recessive genetic disorder, meaning that both parents must carry the mutated gene for a child to be affected.

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