2025 ICD-10-CM code A18.15
(Active) Effective Date: N/A Infectious and Parasitic Diseases - Tuberculosis Certain infectious and parasitic diseases Feed
Tuberculosis of other male genital organs.
The medical necessity for the diagnosis and treatment of tuberculosis of other male genital organs (A18.15) is established by the presence of signs, symptoms, and diagnostic findings consistent with active tuberculosis infection in the specified organs.This may include physical examination findings, imaging studies, laboratory tests, and histopathological confirmation from a biopsy.Treatment is medically necessary to eradicate the infection, prevent further spread of the disease, and manage associated complications, such as infertility or pain.
Clinicians should consider the possibility of genital tuberculosis in men presenting with symptoms such as a painless (or sometimes painful) scrotal mass, abscesses, fistulas, hydrocele, hemospermia, infertility, or ulcerative penile lesions.Constitutional symptoms like night sweats, fever, and weight loss may also be present. Diagnosis involves blood tests, tuberculin skin tests, imaging (CT or MRI), and ultimately, tissue biopsy. Treatment typically includes antituberculous chemotherapy (isoniazid, rifampin, rifabutin, pyrazinamide, and ethambutol) and potentially surgery for obstructions or granuloma removal.
In simple words: This code refers to tuberculosis that affects the male reproductive organs, other than the usual sites like the epididymis and prostate.It happens when TB bacteria spread from the lungs or elsewhere in the body to these organs.
Tuberculosis of other male genital organs is a form of extrapulmonary tuberculosis. It occurs when Mycobacterium tuberculosis (or rarely, Mycobacterium bovis) bacilli spread from an initial infection site, typically the lungs, through the blood or lymphatic system to the male genital organs.Granulomas (inflammatory masses of cells) form in these organs, often remaining dormant for extended periods before rupturing and causing active infection. This code encompasses tuberculosis infections in specific male genital organs not classified elsewhere.
Example 1: A 35-year-old male presents with a painless scrotal mass and a history of pulmonary tuberculosis.Further investigation reveals a tuberculous infection of the vas deferens, confirmed by biopsy., A 50-year-old male with a history of latent TB experiences hemospermia and perineal pain. Imaging reveals granulomas in the seminal vesicles, consistent with genital tuberculosis., A 25-year-old male presents with a penile ulcer. Despite a lack of pulmonary symptoms, a biopsy confirms Mycobacterium tuberculosis infection, suggesting primary genital tuberculosis potentially acquired through sexual contact.
Documentation for A18.15 should include details of the patient's history (including any history of TB), presenting symptoms, physical exam findings, results of diagnostic tests (blood tests, tuberculin skin test, imaging studies, and biopsy), and treatment plan. Evidence of granulomas or other tuberculous lesions in the affected male genital organ(s) should be clearly documented.
- Specialties:Infectious Disease, Urology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Independent Clinic