ICD-10-CM Billable Code

B77.0

Ascariasis with intestinal complications

Clinical Classification Guidelines

Medical Intelligence & Overview

Ascariasis is a parasitic infection caused by the roundworm Ascaris lumbricoides. When this infection leads to intestinal complications, it can cause a range of gastrointestinal issues that may require medical attention. This condition remains prevalent in areas with inadequate sanitation and is one of the most common helminthic infections worldwide. Recognizing the symptoms and understanding the causes can help in early detection and management of ascariasis with intestinal complications.

Causes & Symptoms

Clinical Causes: Ingestion of food or water contaminated with Ascaris eggs Poor sanitation and hygiene practices Close contact with infected individuals contaminated soil or surfaces Failure to wash hands thoroughly before eating or after using the restroom

Key Symptoms: Abdominal pain and discomfort, often in the upper abdomen Nausea and vomiting Distention or bloating of the abdomen Changes in bowel habits, such as diarrhea or constipation Presence of visible worms in stool or vomit in severe cases Loss of appetite and weight loss Fatigue and general malaise

Diagnostic & Treatment

Diagnosis Path: Diagnosis of ascariasis with intestinal complications involves a combination of clinical evaluation and laboratory tests. Stool examinations to identify eggs or adult worms are fundamental. Imaging studies like abdominal X-rays or ultrasounds may reveal the presence of worms or related complications such as bowel obstruction. Blood tests might show eosinophilia, indicating a parasitic infection. Accurate diagnosis is essential for appropriate treatment and management.

Treatment Protocols: Treatment primarily involves antiparasitic medications to eradicate the worms. Commonly prescribed drugs include albendazole or mebendazole, taken over a specific course as advised by a healthcare provider. In cases with intestinal complications such as obstruction, more intensive interventions, possibly including surgery, may be necessary. Supportive care like rehydration and nutritional support can also be important during recovery. Preventive measures, such as improved sanitation and personal hygiene, are crucial in controlling the spread of ascariasis.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is B77.0 a billable ICD-10 code?
Yes, B77.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report B77.0?
Clinical documentation must specify the nature of Ascariasis with intestinal complications and any associated comorbidities for accurate reporting.

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Related Diagnosis Codes

Clinical Meta Tags

complications ascariasis intestinal