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2025 ICD-10-CM code A21.2

Pulmonary tularemia.

Use additional codes to identify resistance to antimicrobial drugs (Z16.-).Do not use this code for carrier status or suspected carriers (Z22.-). Do not use for infectious or parasitic diseases complicating pregnancy, childbirth, and the puerperium (O98.-), or those specific to the perinatal period (P35-P39). Do not use for influenza or other acute respiratory infections (J00-J22).

Medical necessity for treatment of pulmonary tularemia is established by the confirmation of infection with F. tularensis and the presence of clinical manifestations such as fever, respiratory symptoms, and other systemic findings. Prompt treatment is crucial to prevent serious complications and potential fatality.

Diagnosis involves patient history, physical examination, and laboratory tests like blood cultures, serologic tests, PCR, and microscopic analysis of specimens from lymph nodes or lesions. Treatment typically includes antibiotics such as doxycycline, ciprofloxacin, streptomycin, and tetracycline.

In simple words: Pulmonary tularemia is a serious lung infection caused by the bacterium Francisella tularensis.It can happen when you breathe in the bacteria or when it spreads to your lungs from another infected part of your body.Symptoms can include fever, cough, chest pain, trouble breathing, sweating, and swollen lymph nodes.

Pulmonary tularemia is a serious bacterial infection of the lungs caused by Francisella tularensis. It can occur through the inhalation of aerosolized bacteria or spread to the lungs from other sites of infection. This condition can present with fever, cough, chest pain, difficulty breathing, sweats, and swollen lymph nodes.

Example 1: A landscaper develops fever, cough, and chest pain after working in a dusty area known to have rodents. Tests confirm pulmonary tularemia from inhalation of the bacteria., A hunter develops a skin ulcer after handling an infected rabbit. The infection spreads to his lungs, causing pulmonary tularemia with respiratory distress., A farmer develops fever, chills, and fatigue after working with contaminated hay. Tests reveal pulmonary tularemia, likely from inhaling aerosolized bacteria.

Documentation should include the patient's symptoms, exposure history (e.g., contact with animals, tick bites, landscaping activities), laboratory results (blood cultures, serologic tests, PCR), imaging findings (chest X-ray, CT scan), and treatment details.

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