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ICD-10 Code A18.82 | Tuberculosis of other endocrine glands Symptoms, Diagnosis, Billing

Tuberculosis of other endocrine glands is a rare form of extrapulmonary tuberculosis that affects glands such as the thyroid, adrenal, and pituitary glands. It is caused by Mycobacterium tuberculosis and can lead to significant hormonal imbalances and systemic complications. Accurate coding with ICD-10 Code A18.82 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage this serious condition effectively.

What is ICD-10 Code A18.82 for Tuberculosis of other endocrine glands?

ICD-10 Code A18.82 represents Tuberculosis of other endocrine glands, indicating the presence of tuberculosis infection in glands outside the lungs. This code should be used when documenting cases where the disease affects endocrine glands, which may lead to complications such as hormonal dysfunction. It is crucial for accurate clinical documentation and billing, particularly in cases of extrapulmonary tuberculosis.

ICD-10 Code A18.82 – Clinical Definition and Explanation of Tuberculosis of other endocrine glands

Tuberculosis of other endocrine glands is primarily caused by Mycobacterium tuberculosis, which can disseminate from pulmonary sites or occur as a primary infection in the glands. The condition can progress silently, leading to significant endocrine dysfunction and requiring prompt medical intervention.

Key Clinical Features:

  • Hormonal imbalances due to glandular involvement.
  • Symptoms may include fatigue, weight loss, and endocrine-related issues.
  • Potential for systemic complications if untreated.
  • Increased risk in immunocompromised patients.

ICD-10 Code A18.82 for Tuberculosis of other endocrine glands – SOAP Notes & Clinical Use

ICD-10 Code A18.82 is utilized in SOAP notes to document the presence of tuberculosis affecting endocrine glands. It plays a vital role in capturing patient symptoms, assessments, and treatment plans, ensuring comprehensive care in both acute and chronic settings.

What Does ICD-10 Code A18.82 for Tuberculosis of other endocrine glands Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A18.82 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of tuberculosis affecting endocrine glands. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A18.82 – Tuberculosis of other endocrine glands

Tuberculosis of other endocrine glands requires urgent medical attention, often necessitating hospitalization for effective management. Treatment typically involves antibiotic therapy tailored to combat the infection.

Antibiotic Therapy:

  • First-line: Isoniazid, Rifampin, Pyrazinamide, Ethambutol for 6-12 months.
  • Alternative: Streptomycin or Levofloxacin for resistant cases.
  • Monitor for drug interactions and side effects.

Supportive Care:

  • Regular monitoring of endocrine function.
  • Nutritional support to manage weight loss.
  • Symptomatic treatment for fatigue and other related symptoms.

Infection Control:

  • Implement airborne precautions in healthcare settings.
  • Educate patients on hygiene practices to prevent transmission.
  • Screen close contacts for latent tuberculosis infection.

How to Document Symptoms of Tuberculosis of other endocrine glands (ICD-10 A18.82) in SOAP Notes

Subjective:

  • Patient reports fatigue and unexplained weight loss.
  • History of night sweats and fever.
  • Complaints of hormonal symptoms such as irregular menstruation.

Objective:

  • Vital signs: Elevated temperature, normal blood pressure.
  • Physical exam: Thyroid enlargement or adrenal insufficiency signs.
  • Laboratory findings: Abnormal hormone levels or positive TB tests.
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SOAP Note Guidelines for Diagnosing Tuberculosis of other endocrine glands (ICD-10 Code A18.82)

Assessment:

  • Diagnosis: Tuberculosis of other endocrine glands, moderate severity.
  • ICD-10 Code: A18.82.
  • Contributing factors: Immunocompromised state, history of exposure.

Plan:

  • Initiate first-line antibiotic 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 A18.82 – Tuberculosis of other endocrine glands

  • First-line pharmacologic treatments include Isoniazid and Rifampin.
  • Non-pharmacologic strategies involve nutritional support and symptom management.
  • Monitoring includes regular endocrine function tests and symptom tracking.
  • Follow-up practices should include reassessment of treatment efficacy and side effects.

Using ICD-10 Code A18.82 for Tuberculosis of other endocrine 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.
  • Only list CPT codes that are commonly billed with ICD-10 Code A18.82 based on standard medical coding practices.

ICD-10 Code A18.82 in Medical Billing and Insurance for Tuberculosis of other endocrine glands

ICD-10 Code A18.82 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Ensure thorough documentation of patient history and clinical findings.
  • Use this code in settings where tuberculosis is confirmed or suspected.
  • Highlight key chart elements such as lab results and treatment plans.

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically 70 minutes or more.
36415Collection of venous blood by venipuncture.
71045Radiologic examination, chest, single view.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A18.82 for Tuberculosis of other endocrine glands

What are the common symptoms of Tuberculosis of other endocrine glands?

Common symptoms include fatigue, unexplained weight loss, hormonal imbalances, and night sweats. Patients may also experience specific endocrine-related symptoms depending on the glands affected.

How is Tuberculosis of other endocrine glands diagnosed?

Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests, including cultures or biopsies to confirm the presence of Mycobacterium tuberculosis in the affected glands.

What is the treatment for Tuberculosis of other endocrine glands?

Treatment usually consists of a combination of antibiotics such as Isoniazid and Rifampin for an extended duration, along with supportive care to manage symptoms and monitor endocrine function.

Is Tuberculosis of other endocrine glands contagious?

While the condition itself is not directly contagious, the underlying Mycobacterium tuberculosis can be transmitted through respiratory droplets. Infection control measures are essential in healthcare settings.

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