B58.0 - Toxoplasma oculopathy

Clinical Information

• Toxoplasmosis-. the acquired form of infection by toxoplasma gondii in animals and man.
• Toxoplasmosis, Animal-. acquired infection of non-human animals by organisms of the genus toxoplasma.
• Toxoplasmosis, Cerebral-. infections of the brain caused by the protozoan toxoplasma gondii that primarily arise in individuals with immunologic deficiency syndromes (see also aids-related opportunistic infections). the infection may involve the brain diffusely or form discrete abscesses. clinical manifestations include seizures, altered mentation, headache, focal neurologic deficits, and intracranial hypertension. (from joynt, clinical neurology, 1998, ch27, pp41-3)
• Toxoplasmosis, Congenital-. prenatal protozoal infection with toxoplasma gondii which is associated with injury to the developing fetal nervous system. the severity of this condition is related to the stage of pregnancy during which the infection occurs; first trimester infections are associated with a greater degree of neurologic dysfunction. clinical features include hydrocephalus; microcephaly; deafness; cerebral calcifications; seizures; and psychomotor retardation. signs of a systemic infection may also be present at birth, including fever, rash, and hepatosplenomegaly. (from adams et al., principles of neurology, 6th ed, p735)
• Toxoplasmosis, Ocular-. infection caused by the protozoan parasite toxoplasma in which there is extensive connective tissue proliferation, the retina surrounding the lesions remains normal, and the ocular media remain clear. chorioretinitis may be associated with all forms of toxoplasmosis, but is usually a late sequel of congenital toxoplasmosis. the severe ocular lesions in infants may lead to blindness.
• Toxoplasma-. a genus of protozoa parasitic to birds and mammals. t. gondii is one of the most common infectious pathogenic animal parasites of man.
• Adult Acquired Toxoplasmosis-. toxoplasmosis acquired in adulthood.
• Aicardi-Goutieres Syndrome 1|AGS1|Cree Encephalitis|Encephalopathy, Familial Infantile, with Intracranial Calcification and Chronic Cerebrospinal Fluid Lymphocytosis|Pseudotoxoplasmosis Syndrome-. a heritable condition, caused by mutation(s) in the trex1 gene, encoding three-prime repair exonuclease 1. clinical features and onset may vary significantly, but is characterized in its most severe form by cerebral atrophy, leukodystrophy, intracranial calcifications, chronic cerebrospinal fluid (csf) lymphocytosis, and increased concentrations of csf alpha-interferon.
• Congenital Toxoplasmosis-. toxoplasma infection that is present from birth.
• Cordonnier Grade 2 Parasitic Complication, Toxoplasmosis Infection without Organ Involvement|Cordonnier Grade 2 Parasitic Complication|Grade 2 Toxoplasmosis Infection without Organ Involvement-. any toxoplasmosis infection without organ involvement.
• Cordonnier Grade 3 Parasitic Complication, Central Nervous System or Other Organ Toxoplasmosis|Grade 3 CNS or Other Organ Toxoplasmosis-. any toxoplasmosis infection with central nervous system involvement or other organ involvement.
• Nephrotic Syndrome - Toxoplasmosis Associated|Toxoplasmosis Associated Nephrotic Syndrome-. nephrotic syndrome associated with a toxoplasmosis infection.
• TORCH Antibody Measurement|Toxoplasmosis, Other Infections, Rubella, Cytomegalovirus, and Herpes Simplex Virus (TORCH) Antibody Panel Measurement-. a group of blood tests used to detect antibodies to toxoplasma gondii, rubella, cytomegalovirus, and herpes simplex virus to rule out congenital infections. a group of other infections may be tested as well, including varicella-zoster virus, hepatitis b virus, human immunodeficiency virus, parvovirus b19, and syphilis.
• TORCH Syndrome|TORCH Infection|Toxoplasmosis, Other Infections, Rubella, Cytomegalovirus, and Herpes Simplex Virus (TORCH) Syndrome-. a syndrome that results from a group of infections that affect the fetus or the newborn. the group of infections includes toxoplasma gondii, rubella, cytomegalovirus, herpes simplex virus, and other infections. the other infections include varicella-zoster virus, hepatitis b virus, human immunodeficiency virus, parvovirus b19, and syphilis. signs and symptoms include fever, feeding difficulties, petechial rash, jaundice, hepatosplenomegaly, chorioretinitis, and microcephaly.
• Toxoplasmosis-. a parasitic disease contracted by the ingestion or fetal transmission of toxoplasma gondii.

Specific Coding for Toxoplasma oculopathy

Non-specific codes like B58.0 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for toxoplasma oculopathy:

Patient Education

Eye Infections

Your eyes can get infections from bacteria, fungi, or viruses. Eye infections can occur in different parts of the eye and can affect just one eye or both. Two common eye infections are:

• Conjunctivitis - also known as pink eye. Conjunctivitis is often due to an infection. Children frequently get it, and it is very contagious.
• Stye - a bump on the eyelid that happens when bacteria from your skin get into the hair follicle of an eyelash.

Symptoms of eye infections may include redness, itching, swelling, discharge, pain, or problems with vision. Treatment depends on the cause of the infection and may include compresses, eye drops, creams, or antibiotics.

Toxoplasmosis

Toxoplasmosis is a disease caused by the parasite Toxoplasma gondii. More than 60 million people in the U.S. have the parasite. Most of them don't get sick. But the parasite causes serious problems for some people. These include people with weak immune systems and babies whose mothers become infected for the first time during pregnancy. Problems can include damage to the brain, eyes, and other organs.

You can get toxoplasmosis from :

• Waste from an infected cat
• Eating contaminated meat that is raw or not well cooked
• Using utensils or cutting boards after they've had contact with contaminated raw meat
• Drinking infected water
• Receiving an infected organ transplant or blood transfusion

Most people with toxoplasmosis don't need treatment. There are drugs to treat it for pregnant women and people with weak immune systems.

Centers for Disease Control and Prevention

Code History

• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)