Whooping cough due to other Bordetella species without pneumonia
ICD-10 A37.80 is a billable code used to indicate a diagnosis of whooping cough due to other bordetella species without pneumonia.
Whooping cough, or pertussis, is primarily caused by Bordetella pertussis, but can also be caused by other species of Bordetella, such as Bordetella parapertussis and Bordetella holmesii. This condition is characterized by severe coughing fits that can lead to a 'whooping' sound during inhalation. The absence of pneumonia indicates that the infection is limited to the upper respiratory tract. Patients may present with symptoms such as paroxysmal coughing, post-tussive vomiting, and apnea, particularly in infants. Diagnosis is typically confirmed through PCR testing or culture of nasopharyngeal secretions. Treatment involves supportive care and antibiotics, with macrolides like azithromycin being the first-line therapy. Vaccination remains a critical preventive measure, especially in vulnerable populations. Understanding the nuances of this condition, including its etiology and clinical presentation, is essential for accurate coding and management.
Detailed history of cough, vaccination status, and any respiratory distress observed.
Infants presenting with severe cough and apnea, older children with prolonged cough.
Consideration of age-related symptoms and potential complications in infants.
Laboratory confirmation of Bordetella species, treatment response, and follow-up care.
Patients with atypical presentations or those requiring hospitalization.
Need for comprehensive patient history and potential co-infections.
Used when confirming the diagnosis of whooping cough due to Bordetella species.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive testing.
The primary treatment for whooping cough is antibiotics, with macrolides such as azithromycin being the first-line therapy. Supportive care is also important.
