ICD-10 Code B90.2 | Sequelae of tuberculosis of bones and joints Symptoms, Diagnosis, Billing

Sequelae of tuberculosis of bones and joints refers to the long-term effects and complications that arise following an initial tuberculosis infection affecting the skeletal system. This condition can lead to chronic pain, deformities, and functional impairments, necessitating accurate coding with ICD-10 Code B90.2 for effective diagnosis, documentation, medical billing, and public health reporting.

What is ICD-10 Code B90.2 for Sequelae of tuberculosis of bones and joints?

ICD-10 Code B90.2 represents the sequelae of tuberculosis specifically affecting bones and joints. This code is used when a patient has a history of tuberculosis that has resulted in lasting complications, such as osteomyelitis or arthritis. It is essential for clinical documentation and billing to accurately reflect the patient's ongoing health issues related to prior tuberculosis infection.

ICD-10 Code B90.2 – Clinical Definition and Explanation of Sequelae of tuberculosis of bones and joints

Sequelae of tuberculosis of bones and joints occur as a result of the body's response to a previous tuberculosis infection, which can lead to chronic conditions affecting the musculoskeletal system. These sequelae may require ongoing medical attention due to their impact on mobility and quality of life.

Key Clinical Features:

• Chronic pain in affected bones or joints
• Deformities or structural changes in the skeletal system
• Limited range of motion or functional impairment
• History of prior tuberculosis infection

ICD-10 Code B90.2 for Sequelae of tuberculosis of bones and joints – SOAP Notes & Clinical Use

ICD-10 Code B90.2 is utilized in SOAP notes to document the ongoing effects of tuberculosis on bones and joints. This code aids in capturing the patient's symptoms, assessment findings, and treatment plans, ensuring comprehensive care in both acute and chronic settings.

What Does ICD-10 Code B90.2 for Sequelae of tuberculosis of bones and joints Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B90.2 connects subjective reports of pain and functional limitations with objective clinical findings, facilitating a formal diagnosis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B90.2 – Sequelae of tuberculosis of bones and joints

Management of sequelae from tuberculosis of bones and joints often requires a multidisciplinary approach, including pharmacologic and supportive care.

Antibiotic Therapy:

• First-line: Rifampin and Isoniazid for 6-12 months
• Alternative: Ethambutol or Pyrazinamide if resistance is suspected
• Duration: Typically 6-12 months depending on severity

Supportive Care:

• Physical therapy to improve mobility and strength
• Pain management strategies including NSAIDs
• Surgical intervention for severe deformities or joint replacement

Infection Control:

• Standard precautions to prevent transmission during active outbreaks
• Isolation protocols for patients with active tuberculosis
• Regular screening for latent tuberculosis in at-risk populations

How to Document Symptoms of Sequelae of tuberculosis of bones and joints (ICD-10 B90.2) in SOAP Notes

Subjective:

• Patient reports chronic pain in the left hip joint.
• History of tuberculosis infection treated 5 years ago.
• Complaints of stiffness and reduced mobility in affected joints.
• Patient expresses concern about ongoing functional limitations.

Objective:

• Physical examination reveals tenderness over the left hip.
• Limited range of motion noted during joint assessment.
• X-ray shows signs of osteoarthritis in the affected joint.
• Vital signs within normal limits, no signs of active infection.

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SOAP Note Guidelines for Diagnosing Sequelae of tuberculosis of bones and joints (ICD-10 Code B90.2)

Assessment:

• Diagnosis: Sequelae of tuberculosis of bones and joints, moderate severity.
• ICD-10 Code: B90.2.
• Contributing factors: History of untreated tuberculosis, chronic pain.
• Triggers: Physical activity exacerbates joint pain.

Plan:

• Initiate physical therapy for joint rehabilitation.
• Prescribe NSAIDs for pain management.
• Schedule follow-up in 4 weeks to assess progress.
• Consider referral to orthopedic specialist if symptoms persist.

Treatment & Plan Section for ICD-10 Code B90.2 – Sequelae of tuberculosis of bones and joints

• First-line pharmacologic treatments include NSAIDs for pain relief.
• Non-pharmacologic strategies such as physical therapy to enhance mobility.
• Monitoring through regular follow-up appointments to assess treatment efficacy.
• Patient education on lifestyle modifications to prevent further complications.

Using ICD-10 Code B90.2 for Sequelae of tuberculosis of bones and joints 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 B90.2 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Sequelae of tuberculosis of bones and joints

• B90.0 – Sequelae of tuberculosis of respiratory system

ICD-10 Code B90.2 in Medical Billing and Insurance for Sequelae of tuberculosis of bones and joints

ICD-10 Code B90.2 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure thorough documentation of the patient's history and current symptoms.
• Use the code in conjunction with relevant CPT codes for comprehensive billing.
• Highlight any complications or additional diagnoses to support the claim.
• Maintain accurate records of treatment plans and patient responses.

Common CPT Pairings: