ICD-10 Code A18.54 | Tuberculous iridocyclitis Symptoms, Diagnosis, Billing

Tuberculous iridocyclitis is an inflammatory condition of the eye caused by Mycobacterium tuberculosis, affecting the iris and ciliary body. This condition is clinically significant as it can lead to vision impairment and requires prompt diagnosis and treatment. The ICD-10 Code A18.54 facilitates accurate documentation, billing, and public health reporting, ensuring that healthcare providers can effectively manage and track cases of this infectious disease.

What is ICD-10 Code A18.54 for Tuberculous iridocyclitis?

ICD-10 Code A18.54 represents Tuberculous iridocyclitis, an ocular manifestation of tuberculosis characterized by inflammation of the iris and ciliary body. This code should be used when documenting cases where the patient has a confirmed or suspected diagnosis of this condition, particularly in the context of underlying tuberculosis infection or complications.

ICD-10 Code A18.54 – Clinical Definition and Explanation of Tuberculous iridocyclitis

Tuberculous iridocyclitis is primarily caused by the spread of Mycobacterium tuberculosis to the eye, often as a result of systemic tuberculosis. The condition can progress rapidly, leading to complications such as glaucoma or cataracts, necessitating immediate medical attention.

Key Clinical Features:

• Eye pain and redness
• Photophobia (sensitivity to light)
• Decreased visual acuity
• Presence of keratic precipitates on the cornea

ICD-10 Code A18.54 for Tuberculous iridocyclitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A18.54 is utilized to document the diagnosis of Tuberculous iridocyclitis, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A18.54 for Tuberculous iridocyclitis Mean in SOAP Notes?

ICD-10 Code A18.54 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Tuberculous iridocyclitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A18.54 – Tuberculous iridocyclitis

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

Antibiotic Therapy:

• First-line: Rifampicin, Isoniazid, Pyrazinamide, Ethambutol for 6-12 months
• Alternative: Streptomycin or Levofloxacin if resistance is suspected
• Duration: Typically 6-12 months depending on clinical response

Supportive Care:

• Topical corticosteroids to reduce inflammation
• Analgesics for pain management
• Regular ophthalmologic follow-up to monitor complications

Infection Control:

• Isolation precautions if the patient is contagious
• Education on tuberculosis transmission prevention
• Monitoring for outbreaks in healthcare settings

How to Document Symptoms of Tuberculous iridocyclitis (ICD-10 A18.54) in SOAP Notes

Subjective:

• Patient reports eye pain and redness in the right eye.
• Complains of increased sensitivity to light.
• Noticed a decrease in vision over the past week.
• History of systemic tuberculosis treated 6 months ago.

Objective:

• Visual acuity measured at 20/40 in the affected eye.
• Afferent pupillary defect noted.
• Keratic precipitates observed on slit-lamp examination.
• Intraocular pressure elevated at 25 mmHg.

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SOAP Note Guidelines for Diagnosing Tuberculous iridocyclitis (ICD-10 Code A18.54)

Assessment:

• Diagnosis: Tuberculous iridocyclitis, moderate severity.
• ICD-10 Code: A18.54.
• Contributing factors: History of tuberculosis, recent ocular symptoms.

Plan:

• Initiate anti-tuberculous therapy as per guidelines.
• Prescribe topical corticosteroids to manage inflammation.
• Schedule follow-up in 1 week to reassess symptoms and intraocular pressure.
• Educate patient on the importance of adherence to therapy.

Treatment & Plan Section for ICD-10 Code A18.54 – Tuberculous iridocyclitis

• First-line pharmacologic treatments include Rifampicin and Isoniazid.
• Non-pharmacologic strategies involve patient education on tuberculosis management.
• Monitoring through regular ophthalmologic assessments.
• Follow-up practices include tracking visual acuity and intraocular pressure.

Using ICD-10 Code A18.54 for Tuberculous iridocyclitis 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 92014 (Ophthalmological examination) and 99213 (Office visit).

Related ICD-10 Codes Often Used with Tuberculous iridocyclitis

• A15.0 – Pulmonary tuberculosis, bacteriologically and histologically confirmed
• A18.51 – Tuberculosis of the eye, unspecified
• A18.52 – Tuberculous choroiditis
• A18.53 – Tuberculous retinitis

ICD-10 Code A18.54 in Medical Billing and Insurance for Tuberculous iridocyclitis

ICD-10 Code A18.54 is critical in billing for hospital, ER, or infectious disease care related to Tuberculous iridocyclitis.

Billing Notes:

• Ensure thorough documentation of symptoms and treatment plans.
• Use the code in settings where tuberculosis is suspected or confirmed.
• Highlight key chart elements such as visual acuity and treatment response.

Common CPT Pairings: