ICD-10 Code A17.89 | Other tuberculosis of nervous system Symptoms, Diagnosis, Billing

Other tuberculosis of the nervous system is a rare but serious manifestation of tuberculosis, which can lead to significant neurological complications. It is caused by Mycobacterium tuberculosis affecting the central or peripheral nervous system. Accurate coding with ICD-10 Code A17.89 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code A17.89 for Other tuberculosis of nervous system?

ICD-10 Code A17.89 represents Other tuberculosis of the nervous system, indicating cases where Mycobacterium tuberculosis affects the nervous system but does not fit into more specific categories. This code should be used when documenting cases of tuberculosis that involve neurological symptoms or complications, ensuring accurate billing and tracking of this serious condition.

ICD-10 Code A17.89 – Clinical Definition and Explanation of Other tuberculosis of nervous system

Other tuberculosis of the nervous system is primarily caused by the hematogenous spread of Mycobacterium tuberculosis from a primary infection site, often the lungs. It can lead to severe neurological deficits and requires prompt medical attention to prevent long-term complications.

Key Clinical Features:

• Neurological symptoms such as headaches, seizures, or altered mental status.
• Possible presence of meningitis or tuberculomas on imaging studies.
• History of pulmonary tuberculosis or exposure to infected individuals.
• Symptoms may develop insidiously, complicating timely diagnosis.

ICD-10 Code A17.89 for Other tuberculosis of nervous system – SOAP Notes & Clinical Use

ICD-10 Code A17.89 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management.

What Does ICD-10 Code A17.89 for Other tuberculosis of nervous system Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A17.89 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Other tuberculosis of the nervous system. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A17.89 – Other tuberculosis of nervous system

The management of Other tuberculosis of the nervous system often necessitates hospitalization due to the potential for severe complications. Treatment typically involves a combination of antibiotic therapy and supportive care.

Antibiotic Therapy:

• First-line: Isoniazid, Rifampin, Pyrazinamide, and Ethambutol for a duration of 6-12 months.
• Alternative: Levofloxacin or Moxifloxacin may be considered in cases of drug resistance.
• Adjuvant therapy: Corticosteroids may be indicated to reduce inflammation.

Supportive Care:

• Monitoring neurological status and vital signs.
• Symptomatic management of headaches and seizures.
• Physical therapy to address mobility issues.

Infection Control:

• Implement airborne precautions in hospital settings.
• Educate patients and families on tuberculosis transmission.
• Regular screening for contacts of the patient.

How to Document Symptoms of Other tuberculosis of nervous system (ICD-10 A17.89) in SOAP Notes

Subjective:

• Patient reports persistent headaches and episodes of confusion.
• History of recent weight loss and night sweats.
• Complaints of seizures occurring intermittently over the past month.

Objective:

• Neurological examination reveals altered mental status.
• CT scan shows lesions consistent with tuberculomas.
• Vital signs: BP 120/80, HR 88, Temp 100.4°F.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

SOAP Note Guidelines for Diagnosing Other tuberculosis of nervous system (ICD-10 Code A17.89)

Assessment:

• Diagnosis: Other tuberculosis of the nervous system, moderate severity.
• ICD-10 Code: A17.89.
• Contributing factors: History of pulmonary tuberculosis and recent exposure to infected individuals.

Plan:

• Initiate first-line anti-tuberculous therapy as per guidelines.
• Educate patient on medication adherence and potential side effects.
• Schedule follow-up appointments for monitoring treatment response.

Treatment & Plan Section for ICD-10 Code A17.89 – Other tuberculosis of nervous system

• First-line pharmacologic treatments include Isoniazid and Rifampin.
• Non-pharmacologic strategies involve patient education on tuberculosis transmission.
• Monitoring practices include regular neurological assessments and imaging studies.
• Follow-up should be scheduled every 1-2 months to evaluate treatment efficacy.

Using ICD-10 Code A17.89 for Other tuberculosis of nervous system in Billing & SOAP Note Compliance

• Select accurate subcodes based on clinical severity or complications.
• Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Commonly billed CPT codes include those for neurological assessments and imaging.

Related ICD-10 Codes Often Used with Other tuberculosis of nervous system

• A17.0 – Tuberculosis of meninges
• A17.1 – Tuberculosis of brain
• A17.2 – Tuberculosis of spinal cord
• A15.0 – Pulmonary tuberculosis, bacteriologically and histologically confirmed

ICD-10 Code A17.89 in Medical Billing and Insurance for Other tuberculosis of nervous system

ICD-10 Code A17.89 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed clinical findings and treatment plans.
• Use this code in settings where tuberculosis-related neurological symptoms are assessed.
• Highlight key chart elements such as imaging results and laboratory findings.

Common CPT Pairings: