ICD-10 Code A18.32 | Tuberculous enteritis Symptoms, Diagnosis, Billing

Tuberculous enteritis is an inflammatory condition of the intestines caused by Mycobacterium tuberculosis. It is clinically significant due to its potential to cause severe gastrointestinal complications, including obstruction and perforation. Accurate coding with ICD-10 Code A18.32 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this infectious disease.

What is ICD-10 Code A18.32 for Tuberculous enteritis?

ICD-10 Code A18.32 represents Tuberculous enteritis, a form of extrapulmonary tuberculosis affecting the intestines. This code should be used when documenting cases of enteritis caused by Mycobacterium tuberculosis, particularly in patients with a known history of tuberculosis or presenting with gastrointestinal symptoms. Accurate use of this code is crucial for clinical documentation and billing processes.

ICD-10 Code A18.32 – Clinical Definition and Explanation of Tuberculous enteritis

Tuberculous enteritis is primarily caused by the ingestion of Mycobacterium tuberculosis, often through the gastrointestinal tract in individuals with pulmonary tuberculosis. The condition can progress to severe complications, necessitating prompt medical attention. Early diagnosis and treatment are critical to prevent morbidity.

Key Clinical Features:

• Abdominal pain and cramping
• Diarrhea, which may be bloody
• Weight loss and malnutrition
• Fever and night sweats
• Signs of intestinal obstruction

ICD-10 Code A18.32 for Tuberculous enteritis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A18.32 is utilized to document the patient's symptoms, assessment findings, and treatment plans related to Tuberculous enteritis. This code is relevant in both acute and chronic care settings, facilitating accurate clinical communication and billing.

What Does ICD-10 Code A18.32 for Tuberculous enteritis Mean in SOAP Notes?

ICD-10 Code A18.32 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Tuberculous enteritis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A18.32 – Tuberculous enteritis

Tuberculous enteritis requires urgent medical intervention, often necessitating hospitalization for effective management. Treatment typically involves antibiotic therapy to combat the infection.

Antibiotic Therapy:

• First-line: Isoniazid, Rifampin, Pyrazinamide, Ethambutol for 6-12 months
• Alternative: Streptomycin for resistant cases

Supportive Care:

• Nutritional support to address malnutrition
• Hydration management to prevent dehydration
• Pain management with appropriate analgesics

Infection Control:

• Isolation precautions for patients with active tuberculosis
• Education on hygiene practices to prevent spread
• Monitoring for outbreaks in healthcare settings

How to Document Symptoms of Tuberculous enteritis (ICD-10 A18.32) in SOAP Notes

Subjective:

• Patient reports persistent abdominal pain and cramping.
• History of weight loss over the past month.
• Complaints of diarrhea, occasionally bloody.
• Fever and night sweats noted by the patient.

Objective:

• Abdominal tenderness on palpation.
• Vital signs: Fever 101°F, tachycardia.
• Laboratory results: Positive stool culture for Mycobacterium tuberculosis.
• Imaging shows thickening of the intestinal wall.

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SOAP Note Guidelines for Diagnosing Tuberculous enteritis (ICD-10 Code A18.32)

Assessment:

• Diagnosis: Tuberculous enteritis, moderate severity.
• ICD-10 Code: A18.32.
• Contributing factors: History of pulmonary tuberculosis.
• Potential triggers: Immunocompromised state.

Plan:

• Initiate first-line antibiotic therapy as per guidelines.
• Provide dietary counseling and nutritional support.
• Schedule follow-up appointments to monitor treatment response.
• Educate patient on signs of complications requiring immediate care.

Treatment & Plan Section for ICD-10 Code A18.32 – Tuberculous enteritis

• First-line pharmacologic treatments include Isoniazid and Rifampin.
• Non-pharmacologic strategies involve nutritional support and hydration.
• Monitoring includes regular follow-up visits and laboratory tests.
• Patient education on recognizing symptoms of complications.

Using ICD-10 Code A18.32 for Tuberculous enteritis 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.
• Use only relevant CPT codes that correspond with the diagnosis.

Related ICD-10 Codes Often Used with Tuberculous enteritis

• A15.0 – Pulmonary tuberculosis, bacteriologically and histologically confirmed
• A18.31 – Tuberculous peritonitis
• A18.39 – Other forms of tuberculosis of the intestines
• B90.9 – Sequelae of tuberculosis, unspecified

ICD-10 Code A18.32 in Medical Billing and Insurance for Tuberculous enteritis

ICD-10 Code A18.32 is critical in medical billing, especially in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and presenting symptoms.
• Use this code in conjunction with appropriate clinical findings.
• Ensure compliance with payer requirements for documentation.
• Include detailed treatment plans to support claims.

Common CPT Pairings: