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ICD-10 Guide
ICD-10 CodesB58.2

B58.2

Toxoplasma chorioretinitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B58.2 is a billable code used to indicate a diagnosis of toxoplasma chorioretinitis.

Key Diagnostic Point:

Toxoplasma chorioretinitis is an ocular manifestation of Toxoplasma gondii infection, a protozoan parasite that can cause significant morbidity, particularly in immunocompromised individuals and during pregnancy. The condition is characterized by inflammation of the choroid and retina, leading to symptoms such as blurred vision, floaters, and in severe cases, vision loss. The infection is often acquired through ingestion of oocysts found in contaminated food or water, or through contact with cat feces. In immunocompetent individuals, the infection may be asymptomatic or present mild flu-like symptoms, but in those with weakened immune systems, such as HIV/AIDS patients, it can lead to severe ocular complications. Diagnosis typically involves clinical examination, serological tests for Toxoplasma antibodies, and imaging studies like fundus photography or OCT (Optical Coherence Tomography). Treatment usually includes antiparasitic medications such as pyrimethamine and sulfadiazine, often combined with corticosteroids to reduce inflammation. Early diagnosis and treatment are crucial to prevent irreversible damage to the retina and preserve vision.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic cases of chorioretinitis.
  • Need for comprehensive patient history to identify immunocompromised status.
  • Potential for co-infection with other pathogens complicating diagnosis.
  • Variability in clinical presentation requiring thorough examination.

Audit Risk Factors

  • Inadequate documentation of serological test results.
  • Failure to document the patient's immunocompromised status.
  • Lack of clarity in distinguishing between Toxoplasma chorioretinitis and other forms of chorioretinitis.
  • Insufficient detail on treatment protocols followed.

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed ocular examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with vision changes, floaters, or diagnosed with HIV/AIDS.

Billing Considerations

Ensure documentation reflects the severity of the condition and any associated systemic symptoms.

Infectious Disease

Documentation Requirements

Comprehensive patient history, serological test results, and treatment response.

Common Clinical Scenarios

Immunocompromised patients with suspected or confirmed Toxoplasma infections.

Billing Considerations

Document any co-infections and the patient's overall immune status.

Coding Guidelines

Inclusion Criteria

Use B58.2 When
  • According to ICD
  • 10 guidelines, B58
  • 2 should be used when the condition is specifically diagnosed as Toxoplasma chorioretinitis
  • It is important to document the patient's immune status and any relevant laboratory findings

Exclusion Criteria

Do NOT use B58.2 When
  • Exclusion criteria include cases where the infection is not ocular or where another cause of chorioretinitis is identified

Related CPT Codes

92014CPT Code

Ophthalmological examination, established patient

Clinical Scenario

Used for follow-up visits in patients diagnosed with Toxoplasma chorioretinitis.

Documentation Requirements

Document visual acuity, fundoscopic findings, and treatment response.

Specialty Considerations

Ophthalmologists should ensure comprehensive documentation of ocular health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Toxoplasma chorioretinitis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of the disease's prevalence and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Toxoplasma chorioretinitis, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of the disease's prevalence and outcomes.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of the disease's prevalence and outcomes.

Resources

Clinical References

  • •
    CDC Toxoplasmosis Information

Coding & Billing References

  • •
    CDC Toxoplasmosis Information

Frequently Asked Questions

What are the common symptoms of Toxoplasma chorioretinitis?

Common symptoms include blurred vision, floaters, and in severe cases, vision loss. Patients may also experience eye pain and redness.