ICD 10 CM A36.89 | Description & Clinical Information
ICD 10 A36.89 describes a medical condition known as diphtheria, which is caused by the bacterium Corynebacterium diphtheriae and commonly affects the upper respiratory system, leading to the formation of a thick coating on the back of the throat, and is typically acquired through direct contact with respiratory droplets spread when an infected individual coughs or sneezes, and in cases where a type of diphtheritic complication, such as diphtheritic peritonitis, is identified by the provider and not represented by another code in this category.
Official Description Of A36.89
The ICD 10 CM book defines ICD 10 code A36.89 as:
Clinical Information
The diagnosis described by ICD 10 CM A36.89 refers to a patient who has contracted complications from diphtheria. This bacterial infection can produce a range of symptoms, depending on the type of complication that arises as a result of the infection.
The most common symptoms experienced by patients with diphtheria complications are difficulty breathing and swallowing, an increased heartbeat, muscle weakness, paralysis, skin lesions, frequent urination, respiratory or cardiac failure, and inflammation of the peritoneum, which can cause a tender, painful abdomen, vomiting, and constipation. These symptoms occur due to the production of the diphtheria toxin, which affects the respiratory system, heart, and nervous system.
To diagnose the condition, healthcare providers take note of the patient’s symptoms, exposure history, and conduct a physical examination. They may also take a tissue specimen from the back of the throat to test for the presence of the bacterium that causes diphtheria.
If the diagnosis is confirmed, treatment must be administered promptly. The primary treatment for diphtheria complications is the immediate administration of the diphtheria antitoxin, which neutralizes the toxin produced by the bacterium. Antibiotics are also used to treat the underlying infection, and symptomatic treatment is given to manage symptoms based on the specific complication.
Isolation of the patient is usually necessary for a duration of about 48 hours after starting antibiotics to prevent the spread of the disease to others.
Furthermore, providers can educate the patient on the importance of timely immunization with diphtheria vaccines such as DTaP, Tdap, DT, and Td. Vaccination is key in preventing the transmission of the bacterium, and its complications. It is important to note that these vaccines are also recommended for people who have never been infected with diphtheria.
In conclusion, diphtheria is a bacterial infection that can cause severe complications, some of which threaten the overall health of the patient. Early diagnosis and treatment are essential, as well as isolation to prevent the transmission of the disease to others. Immunization is a critical measure against diphtheria and should be taken by anyone without previous infection.
