Whooping cough due to Bordetella pertussis
ICD-10 A37 is a billable code used to indicate a diagnosis of whooping cough due to bordetella pertussis.
Whooping cough, or pertussis, is a highly contagious respiratory disease caused by the bacterium Bordetella pertussis. It is characterized by severe coughing fits that can lead to difficulty breathing, vomiting, and exhaustion. The disease is particularly dangerous for infants and young children, who may experience complications such as pneumonia, seizures, and in severe cases, death. The cough typically has a 'whooping' sound, especially in children, and can last for weeks or even months. Diagnosis is primarily clinical, supported by laboratory tests such as PCR or culture of nasopharyngeal secretions. Vaccination with the DTaP (diphtheria, tetanus, and pertussis) vaccine is the most effective prevention method. Treatment usually involves antibiotics, which can help reduce the severity of symptoms and prevent transmission if administered early in the course of the disease. However, the effectiveness of antibiotics diminishes once the cough has progressed significantly. Resistance patterns to macrolide antibiotics, such as azithromycin, have been observed, necessitating careful consideration of treatment options.
Detailed history of cough, vaccination status, and any complications.
Infants presenting with severe cough, older children with prolonged cough, and outbreaks in schools.
Special attention to the age of the patient and vaccination history is crucial for accurate coding.
Comprehensive lab results, treatment plans, and follow-up care.
Patients with atypical presentations or complications from pertussis.
Documentation should include antibiotic resistance patterns and alternative treatment plans.
Used for follow-up visits after diagnosis of whooping cough.
Document history of present illness, review of systems, and treatment plan.
Pediatricians should emphasize vaccination history and any complications.
The primary treatment for whooping cough is antibiotics, such as azithromycin or clarithromycin, especially if administered early in the course of the illness.
