2025 ICD-10-CM code A19.8
(Active) Effective Date: N/A Infectious and parasitic diseases - Miliary tuberculosis Certain infectious and parasitic diseases (A00-B99) Feed
Other miliary tuberculosis. This signifies a disseminated form of tuberculosis not classified as acute, affecting multiple organ sites.
Medical necessity is established by the diagnosis of miliary tuberculosis. The severity and extent of the disease determine the level of intervention required, from medication to surgery.
Diagnosis requires comprehensive evaluation considering symptoms, medical history, and imaging (X-ray, MRI, CT) of affected sites. Treatment involves a combination of antituberculous medications, potentially with adjunctive steroid therapy, and in severe cases, surgery may be necessary for abscesses, hydrocephalus, or tuberculomas.
In simple words: This type of tuberculosis spreads throughout the body and affects multiple organs, like the lungs, brain, liver, spleen, or kidneys.It causes small spots to form on organs, similar to millet seeds. Symptoms can vary based on the affected organs, including fever, headache, weight loss, coughing up blood, chest pain, stiff neck, and other symptoms.
Other miliary tuberculosis is a disseminated form of tuberculosis, excluding the acute form, characterized by the spread of Mycobacterium tuberculosis via the bloodstream to multiple organs, creating tiny, millet seed-like lesions.It is distinguished from acute miliary tuberculosis by its clinical presentation and course.
Example 1: A patient presents with fever, weight loss, and respiratory distress. Imaging reveals millet-seed like lesions in the lungs and liver, confirming a diagnosis of miliary tuberculosis., A patient with a history of untreated tuberculosis develops neurological symptoms.A brain MRI reveals tuberculomas, indicating miliary spread of the disease., A child experiences persistent fever and gastrointestinal issues.Further tests and imaging reveal widespread tuberculosis involvement, requiring long-term antitubercular therapy.
Documentation should include evidence of Mycobacterium tuberculosis infection (e.g., culture, PCR), imaging results confirming multi-organ involvement, clinical findings, and details of treatment.
- Specialties:Infectious Disease, Pulmonology, Internal Medicine, Pediatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office