Tuberculosis of the prostate is a rare form of extrapulmonary tuberculosis caused by Mycobacterium tuberculosis. It can lead to significant morbidity if not diagnosed and treated promptly. The ICD-10 Code A18.14 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage this condition effectively.
What is ICD-10 Code A18.14 for Tuberculosis of prostate?
ICD-10 Code A18.14 specifically denotes Tuberculosis of the prostate, an uncommon manifestation of tuberculosis that may occur in patients with disseminated disease. This code should be utilized in clinical documentation and billing when a patient presents with symptoms indicative of prostate involvement, ensuring proper identification and management of the condition.
ICD-10 Code A18.14 – Clinical Definition and Explanation of Tuberculosis of prostate
Tuberculosis of the prostate is primarily caused by the hematogenous spread of Mycobacterium tuberculosis from a primary site, often the lungs. It can progress silently, leading to complications such as abscess formation or infertility, necessitating prompt medical attention.
Key Clinical Features:
- Dysuria or urinary frequency
- Pelvic pain or discomfort
- Fever and night sweats
- Prostate enlargement on examination
ICD-10 Code A18.14 for Tuberculosis of prostate – SOAP Notes & Clinical Use
In SOAP notes, ICD-10 Code A18.14 is essential for documenting the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive patient management.
What Does ICD-10 Code A18.14 for Tuberculosis of prostate Mean in SOAP Notes?
ICD-10 Code A18.14 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of tuberculosis of the prostate. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code A18.14 – Tuberculosis of prostate
Tuberculosis of the prostate requires urgent medical intervention, often necessitating hospitalization for effective management.
Antibiotic Therapy:
- Isoniazid (INH) - 6 to 12 months
- Rifampin - 6 to 12 months
- Ethambutol - 6 to 12 months
- Pyrazinamide - 2 months (if indicated)
Supportive Care:
- Hydration and nutritional support
- Pain management
- Monitoring for complications
Infection Control:
- Standard precautions to prevent transmission
- Isolation if necessary during active disease
How to Document Symptoms of Tuberculosis of prostate (ICD-10 A18.14) in SOAP Notes
Subjective:
- Patient reports dysuria and increased urinary frequency
- Complains of pelvic pain and discomfort
- History of fever and night sweats
- No prior history of prostate issues
Objective:
- Prostate examination reveals enlargement
- Fever noted at 101°F
- Urinalysis shows signs of infection
- Imaging may reveal abscess formation
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SOAP Note Guidelines for Diagnosing Tuberculosis of prostate (ICD-10 Code A18.14)
Assessment:
- Diagnosis: Tuberculosis of prostate, moderate severity
- ICD-10 Code: A18.14
- Contributing factors: Possible disseminated tuberculosis
- Consideration of differential diagnoses
Plan:
- Initiate anti-tuberculous therapy as per guidelines
- Educate patient on medication adherence and side effects
- Schedule follow-up in 1 month to assess treatment response
- Monitor for potential complications such as abscess formation
Treatment & Plan Section for ICD-10 Code A18.14 – Tuberculosis of prostate
- First-line pharmacologic treatment includes isoniazid and rifampin
- Non-pharmacologic strategies include hydration and nutritional support
- Monitoring for treatment efficacy and side effects is essential
- Follow-up appointments should be scheduled to assess recovery and manage complications
Using ICD-10 Code A18.14 for Tuberculosis of prostate in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings under Subjective (S) and Objective (O) sections
- Use A18.14 in conjunction with appropriate CPT codes for billing
- Align treatment plans with clinical guidelines to support justified billing
- Document any complications or additional diagnoses to ensure comprehensive care
Related ICD-10 Codes Often Used with Tuberculosis of prostate
- A15.0 – Pulmonary tuberculosis, bacteriologically and histologically confirmed
- A18.2 – Tuberculosis of other organs
ICD-10 Code A18.14 in Medical Billing and Insurance for Tuberculosis of prostate
ICD-10 Code A18.14 is critical in billing for hospital, ER, or infectious disease care related to tuberculosis of the prostate.
Billing Notes:
- Document all relevant clinical findings to support the diagnosis
- Use A18.14 in appropriate settings to ensure accurate billing
- Include key chart elements such as treatment plans and follow-up notes
- Ensure compliance with payer requirements for tuberculosis-related claims
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99223 | Initial hospital care, typically 70 minutes or more of total time spent on the date of the encounter |
| 87070 | Culture, bacterial; any other source, except urine, blood, or stool |
| 36415 | Collection of venous blood by venipuncture |
Frequently Asked Questions
Common Questions About Using ICD-10 Code A18.14 for Tuberculosis of prostate
What are the common symptoms of Tuberculosis of prostate?
Common symptoms include dysuria, pelvic pain, fever, and urinary frequency. Patients may also experience systemic symptoms such as night sweats and weight loss.
How is Tuberculosis of prostate diagnosed?
Diagnosis typically involves clinical evaluation, imaging studies, and microbiological tests to confirm the presence of Mycobacterium tuberculosis in prostate tissue.
Is Tuberculosis of prostate contagious?
While the disease itself is not directly contagious, the underlying Mycobacterium tuberculosis can spread through respiratory droplets. Proper infection control measures are essential.
What is the treatment for Tuberculosis of prostate?
Treatment usually involves a combination of antibiotics such as isoniazid and rifampin for an extended duration, often 6 to 12 months, depending on the severity and response to therapy.
