Tuberculosis of adrenal glands is a rare but serious condition caused by Mycobacterium tuberculosis infection affecting the adrenal glands. This condition can lead to adrenal insufficiency and other systemic complications. Accurate coding with ICD-10 Code A18.7 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this infectious disease.
What is ICD-10 Code A18.7 for Tuberculosis of adrenal glands?
ICD-10 Code A18.7 represents Tuberculosis of adrenal glands, a condition where the adrenal glands become infected with Mycobacterium tuberculosis. This code should be used in clinical documentation and billing when a patient presents with symptoms related to adrenal dysfunction or when tuberculosis is confirmed as the underlying cause of adrenal gland involvement.
ICD-10 Code A18.7 – Clinical Definition and Explanation of Tuberculosis of adrenal glands
Tuberculosis of adrenal glands is primarily caused by the hematogenous spread of Mycobacterium tuberculosis from a primary pulmonary infection. The condition can progress to adrenal insufficiency, necessitating prompt medical attention to prevent severe complications. Early diagnosis and treatment are critical for patient outcomes.
Key Clinical Features:
- Adrenal insufficiency symptoms such as fatigue, weight loss, and hypotension.
- Possible hyperpigmentation of the skin due to increased ACTH levels.
- History of pulmonary tuberculosis or exposure to tuberculosis.
- Laboratory findings indicating adrenal hormone deficiencies.
ICD-10 Code A18.7 for Tuberculosis of adrenal glands – SOAP Notes & Clinical Use
ICD-10 Code A18.7 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to tuberculosis of the adrenal glands. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.
What Does ICD-10 Code A18.7 for Tuberculosis of adrenal glands Mean in SOAP Notes?
In SOAP notes, ICD-10 Code A18.7 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of tuberculosis of the adrenal glands. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code A18.7 – Tuberculosis of adrenal glands
Tuberculosis of adrenal glands requires urgent medical intervention, often necessitating hospitalization for effective management.
Antibiotic Therapy:
- First-line: Isoniazid (INH) for 6-12 months.
- First-line: Rifampin (RIF) for 6-12 months.
- Alternative: Ethambutol (EMB) if resistance is suspected.
- Alternative: Pyrazinamide (PZA) may be included in initial treatment.
Supportive Care:
- Hydration and electrolyte management.
- Hormone replacement therapy for adrenal insufficiency.
- Nutritional support to address weight loss.
- Monitoring for potential complications.
Infection Control:
- Implement airborne precautions in healthcare settings.
- Isolation of patients with active tuberculosis.
- Regular screening of healthcare workers for tuberculosis exposure.
- Education on tuberculosis transmission prevention.
How to Document Symptoms of Tuberculosis of adrenal glands (ICD-10 A18.7) in SOAP Notes
Subjective:
- Patient reports fatigue and significant weight loss over the past month.
- History of night sweats and fever.
- Complaints of dizziness and hypotension upon standing.
- Patient has a known history of pulmonary tuberculosis.
Objective:
- Vital signs: BP 90/60 mmHg, HR 110 bpm.
- Physical examination reveals hyperpigmentation of the skin.
- Laboratory tests show low cortisol levels.
- Chest X-ray indicates previous pulmonary tuberculosis.
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SOAP Note Guidelines for Diagnosing Tuberculosis of adrenal glands (ICD-10 Code A18.7)
Assessment:
- Diagnosis: Tuberculosis of adrenal glands (ICD-10 A18.7), moderate severity.
- Consider potential adrenal insufficiency as a complication.
- Patient's history of pulmonary tuberculosis is a contributing factor.
- Monitor for signs of adrenal crisis.
Plan:
- Initiate treatment with isoniazid and rifampin for 6-12 months.
- Start hydrocortisone replacement therapy for adrenal insufficiency.
- Educate patient on medication adherence and potential side effects.
- Schedule follow-up in 1 month to assess treatment response.
Treatment & Plan Section for ICD-10 Code A18.7 – Tuberculosis of adrenal glands
- First-line pharmacologic treatments include isoniazid and rifampin.
- Non-pharmacologic strategies involve nutritional support and hydration.
- Monitoring includes regular assessment of adrenal function and medication side effects.
- Follow-up practices should include chest imaging and symptom review.
Using ICD-10 Code A18.7 for Tuberculosis of adrenal glands 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 evaluation and management services related to tuberculosis care.
Related ICD-10 Codes Often Used with Tuberculosis of adrenal glands
- A15.0 – Pulmonary tuberculosis, bacteriologically and histologically confirmed
- A18.0 – Tuberculosis of bones and joints
- A18.1 – Tuberculosis of meninges
- A18.2 – Tuberculosis of the genitourinary system
ICD-10 Code A18.7 in Medical Billing and Insurance for Tuberculosis of adrenal glands
ICD-10 Code A18.7 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.
Billing Notes:
- Ensure documentation includes detailed patient history and symptomatology.
- Use this code in settings where tuberculosis is diagnosed or treated.
- Highlight key chart elements such as lab results and treatment plans to support claims.
- Document any complications or comorbidities that may affect billing.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, moderate complexity. |
| 36415 | Collection of venous blood by venipuncture. |
| 71045 | Radiologic examination, chest, single view. |
| 85025 | Complete blood count with automated differential. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code A18.7 for Tuberculosis of adrenal glands
What are the common symptoms of tuberculosis of the adrenal glands?
Common symptoms include fatigue, weight loss, hypotension, and skin hyperpigmentation. Patients may also experience dizziness and other signs of adrenal insufficiency.
How is tuberculosis of the adrenal glands diagnosed?
Diagnosis typically involves a combination of patient history, physical examination, laboratory tests for adrenal function, and imaging studies to confirm adrenal involvement.
What is the treatment protocol for tuberculosis of the adrenal glands?
Treatment usually includes a regimen of first-line antitubercular medications such as isoniazid and rifampin, along with hormone replacement therapy for adrenal insufficiency.
Is tuberculosis of the adrenal glands contagious?
While tuberculosis itself is contagious, the adrenal gland involvement is a complication of a systemic infection. Proper infection control measures should be followed to prevent transmission.
