2025 ICD-10-CM code B39.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Infectious Diseases - Mycoses (B35-B49) Chapter I: Certain infectious and parasitic diseases (A00-B99) Feed
Pulmonary histoplasmosis capsulati, unspecified.
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Medical necessity for treatment is determined based on symptom severity and the presence of complications. Mild cases may not require treatment. Severe infections, particularly in immunocompromised individuals or those with disseminated disease, necessitate antifungal therapy.
The clinical responsibility involves diagnosing and managing pulmonary histoplasmosis capsulati. This includes obtaining a thorough patient history, performing a physical examination, ordering and interpreting laboratory tests (blood tests, urine tests, antibody tests, sputum culture), and utilizing imaging techniques (chest X-ray, CT scan) to assess the extent of the infection.A bronchoscopy and biopsy may be performed to obtain a tissue sample for definitive diagnosis. Based on the severity of the infection, the physician may prescribe antifungal medications (itraconazole, amphotericin B, ketoconazole) and monitor the patient's response to treatment.
In simple words: This code describes an unspecified lung infection caused by a fungus found in soil.Symptoms can vary greatly, from no symptoms to fever, cough, chest pain, and fatigue.In severe cases, it may spread to other parts of the body. Doctors use tests and imaging to diagnose the infection.
This code signifies a fungal lung infection caused by inhaling Histoplasma capsulatum spores, typically found in soil contaminated with bat or bird droppings.The infection is prevalent in the central and southeastern United States.The type of pulmonary histoplasmosis is not specified.Symptoms can range from asymptomatic to severe, potentially involving systemic spread. Diagnosis involves history, physical exam, lab tests (blood, urine, antibody tests, sputum culture), and imaging (chest X-ray, CT scan, bronchoscopy, biopsy).
Example 1: A 55-year-old farmer presents with fever, cough, and chest pain.Chest X-ray reveals pulmonary infiltrates.Sputum culture grows Histoplasma capsulatum.B39.2 is coded along with codes for fever and chest pain., A 30-year-old woman with a history of immunosuppression due to organ transplant develops disseminated histoplasmosis with involvement of the central nervous system. B39.2 is coded along with codes for disseminated histoplasmosis and CNS involvement., A 60-year-old man with a history of COPD presents with worsening cough and shortness of breath.Chest CT scan shows pulmonary nodules consistent with histoplasmosis.B39.2 is coded, along with codes for COPD exacerbation.
Complete patient history, including occupational history and potential exposure to bird or bat droppings; physical examination findings; results of laboratory tests (blood tests, urine tests, antibody tests, sputum culture); imaging studies (chest X-ray, CT scan, bronchoscopy, biopsy, if performed); treatment plan and response to treatment.
** This code is for unspecified pulmonary histoplasmosis capsulati.More specific codes exist if the type of histoplasmosis or the presence of complications is known.
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- Specialties:Pulmonology, Infectious Disease, Internal Medicine
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient