Find information on venomous insect sting diagnosis with metabolic considerations. Learn about clinical documentation, ICD-10 codes (T63.4, W57, E88.2 if applicable), healthcare protocols, and medical coding for venomous bites and stings impacting metabolic function. Explore resources for accurate diagnosis, treatment, and patient care related to insect stings and metabolic complications. This resource aids healthcare professionals in proper documentation and coding for venomous stings affecting metabolic processes.
Also known as
Venomous stings, other specified
Sting by other venomous arthropods, such as scorpions, centipedes, and spiders.
Disorders of fluid, electrolyte, and acid-base balance
Metabolic complications related to fluid and electrolyte imbalances due to the sting.
Anaphylactic shock, unspecified
Severe allergic reaction causing shock which can be a complication of venomous stings.
Follow this step-by-step guide to choose the correct ICD-10 code.
Sting from venomous insect (bee, wasp, hornet, scorpion)?
Yes
Metabolic complications present?
No
Do not code as venomous insect sting. Review documentation for alternative diagnosis.
When to use each related code
| Description |
|---|
| Venomous sting with metabolic issues |
| Venomous insect sting |
| Insect bite, non-venomous |
Coding venom type impacts severity. Unspecified venom leads to inaccurate DRG assignment and potential underpayment. CDI should query for specific venom.
Metabolic complication coding requires specific documentation. Lack of detail may lead to rejected claims or downcoding. CDI must ensure accurate capture of these complications.
Miscoding allergic reaction as a sting can skew data and affect quality reporting. CDI must clarify the documentation to distinguish between the two.
Patient presents with clinical manifestations consistent with a venomous insect sting, likely Hymenoptera envenomation, exhibiting localized pain, erythema, edema, and pruritus at the sting site. Differential diagnosis includes cellulitis, insect bite reaction, and contact dermatitis. The patient reports onset immediately post-exposure to an insect identified as a [insert insect type if known e.g., bee, wasp, hornet]. Given the patient's history of [mention metabolic condition, e.g., diabetes mellitus, hypothyroidism, renal insufficiency] metabolic considerations are warranted in the management plan. Vital signs are as follows: blood pressure [record value], heart rate [record value], respiratory rate [record value], temperature [record value], and oxygen saturation [record value]. Assessment of the sting site reveals [describe wound characteristics, e.g., central puncture wound, surrounding wheal and flare reaction, localized swelling measuring x cm]. No systemic symptoms such as anaphylaxis, dyspnea, or hypotension are currently observed. Treatment initiated includes [describe treatment, e.g., local wound care with antiseptic, cold compress application, oral antihistamine administration for pruritus, tetanus prophylaxis if indicated]. Patient education provided on sting care, signs and symptoms of infection, and importance of monitoring blood glucose levels for patients with diabetes. Patient advised to return to clinic or seek emergency medical attention if symptoms worsen or new symptoms develop, including signs of anaphylaxis, spreading infection, or uncontrolled pain. Follow-up scheduled in [timeframe] for reassessment. ICD-10 code T63.41XA, W57, or X23 specified based on confirmed insect and encounter type. CPT codes for evaluation and management services, as well as any procedures performed, documented separately. Medical necessity for prescribed medications and treatments clearly documented.