ICD-10 Code A19.0 | Acute miliary tuberculosis of a single specified site Symptoms, Diagnosis, Billing

Acute miliary tuberculosis of a single specified site is a severe form of tuberculosis characterized by the dissemination of Mycobacterium tuberculosis throughout the body, leading to small lesions resembling millet seeds. This condition is clinically significant due to its rapid progression and potential for severe complications, necessitating prompt diagnosis and treatment. The ICD-10 Code A19.0 facilitates accurate documentation, billing, and public health reporting, ensuring appropriate resource allocation and patient management.

What is ICD-10 Code A19.0 for Acute miliary tuberculosis of a single specified site?

ICD-10 Code A19.0 represents Acute miliary tuberculosis of a single specified site, indicating a localized manifestation of disseminated tuberculosis. This code should be used when documenting cases where the infection is confirmed at a specific site, often requiring targeted treatment and monitoring. Accurate coding is essential for effective clinical documentation and billing processes.

ICD-10 Code A19.0 – Clinical Definition and Explanation of Acute miliary tuberculosis of a single specified site

Acute miliary tuberculosis of a single specified site is caused by the hematogenous spread of Mycobacterium tuberculosis, leading to the formation of numerous small lesions in the affected area. This condition can progress rapidly, resulting in severe respiratory distress and systemic complications, necessitating immediate medical intervention.

Key Clinical Features:

• Presence of small, millet-like lesions on imaging studies.
• Acute respiratory symptoms, including cough and dyspnea.
• Fever, night sweats, and weight loss as systemic manifestations.
• Potential for extrapulmonary involvement, complicating diagnosis.

ICD-10 Code A19.0 for Acute miliary tuberculosis of a single specified site – SOAP Notes & Clinical Use

ICD-10 Code A19.0 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with acute miliary tuberculosis. This code aids in capturing the severity and specific site of infection, which is crucial for both acute and chronic care settings.

What Does ICD-10 Code A19.0 for Acute miliary tuberculosis of a single specified site Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A19.0 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of acute miliary tuberculosis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A19.0 – Acute miliary tuberculosis of a single specified site

Acute miliary tuberculosis of a single specified site requires urgent medical attention and often hospitalization for effective management.

Antibiotic Therapy:

• First-line: Isoniazid, Rifampin, Pyrazinamide, Ethambutol for a typical duration of 6-12 months.
• Alternative: Streptomycin or Levofloxacin may be considered in resistant cases.

Supportive Care:

• Oxygen therapy to manage hypoxemia.
• Nutritional support to address weight loss and malnutrition.
• Symptomatic treatment for fever and pain.

Infection Control:

• Implement airborne precautions to prevent transmission.
• Isolation of patients in negative pressure rooms during hospitalization.
• Regular screening of healthcare workers and close contacts.

How to Document Symptoms of Acute miliary tuberculosis of a single specified site (ICD-10 A19.0) in SOAP Notes

Subjective:

• Patient reports persistent cough with hemoptysis.
• Experiencing night sweats and significant weight loss over the past month.
• Complaints of fever and fatigue.

Objective:

• Vital signs: Fever 101°F, respiratory rate 24 breaths/min.
• Chest X-ray shows miliary nodules bilaterally.
• Laboratory tests indicate elevated white blood cell count and positive tuberculin skin test.

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SOAP Note Guidelines for Diagnosing Acute miliary tuberculosis of a single specified site (ICD-10 Code A19.0)

Assessment:

• Diagnosis: Acute miliary tuberculosis of a single specified site, severe.
• ICD-10 Code: A19.0.
• Contributing factors: Recent travel to endemic areas and exposure to infected individuals.

Plan:

• Initiate first-line antibiotic therapy as per guidelines.
• Educate patient on the importance of adherence to treatment.
• Schedule follow-up appointments for monitoring response to therapy.

Treatment & Plan Section for ICD-10 Code A19.0 – Acute miliary tuberculosis of a single specified site

• First-line pharmacologic treatments include Isoniazid, Rifampin, Pyrazinamide, and Ethambutol.
• Non-pharmacologic strategies involve nutritional support and patient education on disease management.
• Monitoring includes regular follow-up visits and laboratory tests to assess treatment efficacy.
• Follow-up practices should include imaging studies to evaluate resolution of miliary lesions.

Using ICD-10 Code A19.0 for Acute miliary tuberculosis of a single specified site 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 A19.0 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Acute miliary tuberculosis of a single specified site

• A15.0 – Tuberculosis of lung, confirmed by culture and histology
• A19.9 – Tuberculosis, unspecified
• B90.9 – Sequelae of tuberculosis, unspecified

ICD-10 Code A19.0 in Medical Billing and Insurance for Acute miliary tuberculosis of a single specified site

ICD-10 Code A19.0 is critical in billing for hospital, ER, or infectious disease care, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings and treatment plans to support the ICD-10 claim.
• Use this code in settings where acute care for tuberculosis is provided.
• Ensure that all chart elements, including patient history and treatment response, are clearly noted.

Common CPT Pairings: