2025 ICD-10-CM code A18.13
(Active) Effective Date: N/A Infectious and parasitic diseases - Tuberculosis (A15-A19) Certain infectious and parasitic diseases (A00-B99) Feed
Tuberculosis of other urinary organs. This code excludes kidney, ureter, and bladder.
Medical necessity for treatment is established by confirming the diagnosis of tuberculosis in the specified urinary organ. The documentation should support the need for the chosen treatment approach, whether medical or surgical.
Clinicians should consider symptoms such as frequent urination, painful urination, pus in the urine, and back, flank, or abdominal pain. General TB symptoms like night sweats, fever, and weight loss may also be present. Diagnosis involves blood tests, tuberculin skin tests, imaging studies (intravenous urography, MRI, or CT), and tissue biopsy or abscess samples for acid-fast bacilli (AFB). Treatment typically includes antituberculous chemotherapy and potentially surgery for complications like abscesses, fistulas, or obstructions.
In simple words: This code indicates tuberculosis affecting parts of the urinary system other than the kidneys, ureters, and bladder.It's a less common form of tuberculosis outside of the lungs.
Tuberculosis (TB) of other urinary organs is a type of extrapulmonary tuberculosis that affects the renal system. Bacilli migrate to the area via blood circulation or the lymph system from an original infection by Mycobacterium tuberculosis (rarely Mycobacterium bovis). The infection can remain dormant for long periods but eventually activate and infect the involved structures. This code specifies involvement of urinary organ(s) not represented by another code in this category, excluding the kidney, ureter, and bladder.
Example 1: A 30-year-old male presents with persistent flank pain, dysuria, and pyuria. Imaging reveals a granuloma in the urethra. AFB testing confirms a diagnosis of tuberculosis, and he is started on a multi-drug anti-TB regimen., A 55-year-old female with a history of latent TB presents with recurrent urinary tract infections and hematuria. Cystoscopy reveals a tuberculous lesion in the urethra. She is treated with anti-TB medication., A 45-year-old male with HIV presents with fever, night sweats, and weight loss. He also reports pain in the perineal area. Examination and imaging reveal a prostatic abscess. Biopsy confirms tuberculosis of the prostate. He is treated with anti-TB medications and surgical drainage of the abscess.
Documentation should include evidence of TB infection (e.g., positive AFB smear, culture, or biopsy), location of infection within the urinary tract (specifying the organ involved), and associated signs and symptoms. Imaging reports, laboratory results, and details of treatment should also be documented.
- Specialties:Infectious Disease, Urology, Nephrology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Independent Clinic, Federally Qualified Health Center