2025 ICD-10-CM code A15
(Active) Effective Date: N/A Revision Date: N/A Infectious Disease - Tuberculosis Certain infectious and parasitic diseases (A00-B99) Feed
Respiratory tuberculosis caused by Mycobacterium tuberculosis.
Modifiers may be applicable in specific circumstances, such as when the service is performed by different practitioners, or if there are multiple diagnoses involved. Consult the CMS coding guidelines for proper modifier usage.
Medical necessity for the diagnosis and treatment of tuberculosis is established by the presence of clinical symptoms, positive diagnostic test results, and adherence to established treatment guidelines.Treatment is necessary to prevent disease progression, transmission to others, and to improve the patient's overall health.
Diagnosis and management of respiratory tuberculosis involves obtaining a detailed patient history, performing a physical examination, ordering diagnostic tests (chest X-ray, CT scan, bronchoscopy, sputum culture, tuberculin skin test), and prescribing appropriate medication regimens.Monitoring patient response to treatment, managing side effects, and ensuring adherence to the treatment plan are also key responsibilities.
In simple words: Respiratory tuberculosis (TB) is a lung infection caused by bacteria spread through the air when someone with TB coughs or sneezes. Symptoms include coughing (maybe with blood), chest pain, trouble breathing, tiredness, weight loss, fever, and night sweats. Doctors diagnose it with tests like chest X-rays and sputum tests.Treatment usually involves taking several medicines for at least six months.
Respiratory tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis.Transmission occurs primarily through airborne droplets produced by coughing or sneezing of an infected person.Symptoms include coughing (possibly with blood or mucus), chest pain, shortness of breath, wheezing, fatigue, weight loss, fever, and night sweats. Diagnosis involves a combination of patient history, physical exam, chest X-ray or CT scan, bronchoscopy, tuberculin skin test, and laboratory analysis of sputum samples. Treatment typically involves a combination of four medications (isoniazid, rifampin, ethambutol, and pyrazinamide) for at least six months, often using directly observed therapy (DOT).
Example 1: A 35-year-old immigrant presents with a chronic cough, night sweats, and weight loss.Chest X-ray reveals infiltrates consistent with pulmonary tuberculosis.Sputum culture confirms the diagnosis of Mycobacterium tuberculosis. The patient is started on a four-drug regimen under directly observed therapy (DOT)., A 6-month-old infant presents with failure to thrive, fever, and cough.The infant's mother has a history of untreated pulmonary TB. The infant undergoes diagnostic testing that shows signs of primary tuberculosis infection. Treatment with anti-tuberculosis medications is initiated., A 28-year-old patient with HIV is diagnosed with latent tuberculosis infection (LTBI).The physician recommends initiating preventive treatment with isoniazid to prevent progression to active TB disease.
Complete patient history including travel history, risk factors, and exposure to individuals with active TB,results of diagnostic tests (chest X-ray, CT scans, sputum cultures, tuberculin skin tests), details of medication regimen, and documentation of adherence to therapy are required.
** Always refer to the most recent version of the ICD-10-CM coding manual for the most up-to-date information and guidelines.Proper documentation is crucial for accurate coding and appropriate reimbursement.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10-CM codes.
- Specialties:Pulmonology, Infectious Disease, Internal Medicine, Family Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Clinic, Other