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2025 ICD-10-CM code A18.16

Tuberculosis of cervix.

Use additional code to identify resistance to antimicrobial drugs (Z16.-)

Medical necessity for treatment is established by confirmation of tuberculosis infection in the cervix through biopsy and/or culture, along with associated clinical symptoms. Treatment aims to eradicate the infection and prevent further complications like infertility or spread of the disease.

Diagnosis is difficult. Providers diagnose the condition based on the presence of granulomas on cervical and colposcopic examination. Tissue biopsy, cultures, and acid–fast bacilli (AFB) may not be diagnostic. Treatment includes standard antituberculous chemotherapy (isoniazid, rifampin, rifabutin, pyrazinamide, and ethambutol)

In simple words: This code indicates tuberculosis of the cervix, a rare infection where TB bacteria affect the cervix. It can cause symptoms like unusual discharge, bleeding, and pelvic pain.

This code represents a diagnosis of tuberculosis specifically affecting the cervix.It is a rare form of extrapulmonary tuberculosis where Mycobacterium tuberculosis infects the cervical tissue. Symptoms can include vaginal discharge, abnormal bleeding, pelvic pain, and other constitutional symptoms like fever and weight loss.Diagnosis can be challenging and often requires a biopsy.

Example 1: A 36-year-old woman presents with infertility and an abnormal cervical lesion. Biopsy reveals granulomas consistent with tuberculosis., A post-menopausal woman experiences foul-smelling vaginal discharge and post-coital bleeding. Examination and biopsy confirm tuberculosis of the cervix., A woman with a history of pulmonary tuberculosis develops pelvic pain and irregular menses. Cervical examination and testing reveal tuberculosis infection.

Documentation should include details of clinical presentation (e.g., vaginal discharge, bleeding, pain), findings from pelvic and colposcopic examinations, biopsy results, and AFB stain and culture results. Evidence of prior tuberculosis infection should also be noted.

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