ICD-10 Code D89.49 | Other mast cell activation disorder Symptoms, Diagnosis, Billing

Other mast cell activation disorder is characterized by abnormal activation of mast cells, leading to a range of symptoms including allergic reactions, gastrointestinal disturbances, and cardiovascular issues. This condition is clinically significant as it can mimic other disorders and may lead to severe anaphylactic reactions. The ICD-10 Code D89.49 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code D89.49 for Other mast cell activation disorder?

ICD-10 Code D89.49 represents Other mast cell activation disorder, a condition where mast cells are inappropriately activated, causing symptoms that can affect multiple organ systems. This code should be used in clinical documentation and billing when a patient presents with symptoms indicative of mast cell activation that do not fit into more specific categories, ensuring proper identification and management of the disorder.

ICD-10 Code D89.49 – Clinical Definition and Explanation of Other mast cell activation disorder

Other mast cell activation disorder is caused by dysregulation of mast cell activity, which can lead to excessive release of mediators such as histamine. This condition may progress to severe allergic reactions and requires prompt medical attention to manage symptoms effectively.

Key Clinical Features:

• Recurrent episodes of flushing or urticaria
• Gastrointestinal symptoms such as diarrhea or abdominal pain
• Cardiovascular symptoms including hypotension or tachycardia
• Respiratory symptoms like wheezing or difficulty breathing

ICD-10 Code D89.49 for Other mast cell activation disorder – SOAP Notes & Clinical Use

ICD-10 Code D89.49 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management strategies.

What Does ICD-10 Code D89.49 for Other mast cell activation disorder Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D89.49 connects subjective patient-reported symptoms with objective clinical findings, leading to a formal diagnosis. This code supports continuity of care, aids in billing processes, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D89.49 – Other mast cell activation disorder

Management of Other mast cell activation disorder may require hospitalization in severe cases. Treatment focuses on symptom control and prevention of complications.

Antibiotic Therapy:

• Not applicable as this condition is not infectious.

Supportive Care:

• Antihistamines for symptom relief
• Corticosteroids for severe inflammation
• Avoidance of known triggers

Infection Control:

• N/A for non-infectious condition

How to Document Symptoms of Other mast cell activation disorder (ICD-10 D89.49) in SOAP Notes

Subjective:

• Patient reports recurrent episodes of flushing and hives.
• History of gastrointestinal distress after certain foods.
• Complaints of rapid heartbeat and dizziness during episodes.

Objective:

• Vital signs: BP 90/60 mmHg, HR 110 bpm.
• Physical exam reveals urticaria on the trunk.
• Laboratory tests show elevated tryptase levels.

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SOAP Note Guidelines for Diagnosing Other mast cell activation disorder (ICD-10 Code D89.49)

Assessment:

• Diagnosis: Other mast cell activation disorder, moderate severity.
• ICD-10 Code: D89.49.
• Common triggers include specific foods and environmental allergens.

Plan:

• Initiate treatment with antihistamines and corticosteroids.
• Educate patient on trigger avoidance and action plans.
• Schedule follow-up in 4 weeks to monitor symptoms.

Treatment & Plan Section for ICD-10 Code D89.49 – Other mast cell activation disorder

• First-line pharmacologic treatments include antihistamines and corticosteroids.
• Non-pharmacologic strategies involve lifestyle modifications and allergen control.
• Monitoring practices include tracking symptoms and response to treatment.
• Follow-up appointments should be scheduled to reassess the condition.

Using ICD-10 Code D89.49 for Other mast cell activation disorder 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.
• Commonly billed CPT codes include those for evaluation and management services.

Related ICD-10 Codes Often Used with Other mast cell activation disorder

ICD-10 Code D89.49 in Medical Billing and Insurance for Other mast cell activation disorder

ICD-10 Code D89.49 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed descriptions of symptoms and treatment.
• Use this code in settings where mast cell activation disorders are diagnosed.
• Highlight key chart elements such as patient history and response to treatment.

Common CPT Pairings: