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ICD-10 Code A17.83 | Tuberculous neuritis Symptoms, Diagnosis, Billing

Tuberculous neuritis is a rare complication of tuberculosis that affects the peripheral nerves, leading to pain, weakness, and sensory disturbances. It is crucial for accurate diagnosis and documentation, as the ICD-10 Code A17.83 facilitates appropriate medical billing and public health reporting, ensuring that healthcare providers can track and manage this condition effectively.

What is ICD-10 Code A17.83 for Tuberculous neuritis?

ICD-10 Code A17.83 represents Tuberculous neuritis, a neurological manifestation of tuberculosis infection. This code should be used when documenting cases where patients present with neurological symptoms linked to tuberculosis, ensuring accurate clinical documentation and appropriate billing for treatment and management.

ICD-10 Code A17.83 – Clinical Definition and Explanation of Tuberculous neuritis

Tuberculous neuritis occurs when Mycobacterium tuberculosis infects the peripheral nerves, leading to inflammation and neurological deficits. Prompt medical attention is necessary to prevent long-term complications. The condition can progress rapidly, necessitating early diagnosis and intervention.

Key Clinical Features:

  • Neuropathic pain in affected areas
  • Muscle weakness or atrophy
  • Sensory loss or paresthesia
  • Possible systemic symptoms of tuberculosis

ICD-10 Code A17.83 for Tuberculous neuritis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A17.83 is utilized to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate billing.

What Does ICD-10 Code A17.83 for Tuberculous neuritis Mean in SOAP Notes?

ICD-10 Code A17.83 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Tuberculous neuritis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A17.83 – Tuberculous neuritis

Tuberculous neuritis requires urgent medical intervention, often necessitating hospitalization for effective management.

Antibiotic Therapy:

  • First-line: Rifampin, Isoniazid, Pyrazinamide, Ethambutol for 6-12 months
  • Alternative: Levofloxacin or Moxifloxacin if first-line agents are contraindicated

Supportive Care:

  • Pain management with analgesics
  • Physical therapy to maintain muscle strength
  • Nutritional support to enhance recovery

Infection Control:

  • Implement airborne precautions in healthcare settings
  • Educate patients on hygiene practices to prevent transmission
  • Monitor for outbreaks in community settings

How to Document Symptoms of Tuberculous neuritis (ICD-10 A17.83) in SOAP Notes

Subjective:

  • Patient reports numbness and tingling in the extremities.
  • History of recent tuberculosis infection.
  • Complaints of persistent pain in affected areas.
  • Difficulty in performing daily activities due to weakness.

Objective:

  • Neurological examination reveals decreased sensation.
  • Muscle strength testing shows weakness in specific muscle groups.
  • Reflexes are diminished in affected areas.
  • Vital signs stable, no fever noted.
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SOAP Note Guidelines for Diagnosing Tuberculous neuritis (ICD-10 Code A17.83)

Assessment:

  • Diagnosis: Tuberculous neuritis, moderate severity.
  • ICD-10 Code: A17.83.
  • Contributing factors: Recent history of tuberculosis.
  • Triggers: Inflammatory response to tuberculosis infection.

Plan:

  • Initiate first-line antibiotic therapy as per guidelines.
  • Refer to physical therapy for rehabilitation.
  • Educate patient on symptom management and follow-up care.
  • Schedule follow-up appointment in 4-6 weeks to assess progress.

Treatment & Plan Section for ICD-10 Code A17.83 – Tuberculous neuritis

  • First-line pharmacologic treatments include Rifampin and Isoniazid.
  • Non-pharmacologic strategies involve physical therapy and nutritional support.
  • Monitoring includes regular neurological assessments and symptom tracking.
  • Follow-up practices should include routine evaluations to adjust treatment as necessary.

Using ICD-10 Code A17.83 for Tuberculous neuritis in Billing & SOAP Note Compliance

  • Select appropriate documentation settings, including inpatient and outpatient care.
  • Ensure clear symptom documentation under Subjective (S) and Objective (O) sections.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Include only relevant CPT codes that correspond with the diagnosis.

ICD-10 Code A17.83 in Medical Billing and Insurance for Tuberculous neuritis

ICD-10 Code A17.83 is critical in billing for hospital, ER, or infectious disease care related to Tuberculous neuritis.

Billing Notes:

  • Document all relevant patient history and clinical findings to support the claim.
  • Use the code in settings where tuberculosis-related neurological symptoms are treated.
  • Ensure that all chart elements, including treatment plans, are clearly outlined.

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically 70 minutes or more.
96372Therapeutic, prophylactic, or diagnostic injection.
97001Physical therapy evaluation.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A17.83 for Tuberculous neuritis

What are the common symptoms of Tuberculous neuritis?

Common symptoms include neuropathic pain, muscle weakness, sensory loss, and paresthesia in the affected areas. Patients may also experience systemic symptoms related to tuberculosis.

How is Tuberculous neuritis diagnosed?

Diagnosis is based on clinical evaluation, patient history of tuberculosis, and neurological examination. Imaging studies and nerve conduction studies may also be utilized.

What is the treatment for Tuberculous neuritis?

Treatment typically involves a combination of first-line antitubercular medications and supportive care, including pain management and physical therapy.

Is Tuberculous neuritis contagious?

While Tuberculous neuritis itself is not contagious, it is a complication of tuberculosis, which can be transmitted through respiratory droplets. Infection control measures are essential.

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