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2025 ICD-10-CM code A18.32

Tuberculous enteritis.A common complication of pulmonary tuberculosis affecting the intestines.

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

Medical necessity is established by the diagnosis of tuberculous enteritis, confirmed through appropriate diagnostic testing and clinical findings. Treatment is necessary to manage the infection and prevent complications.

Diagnosis involves evaluating patient history, laboratory analysis of sputum, gastric washings, and biopsies.Endoscopy and barium enemas may be used to assess the intestinal walls. Treatment typically involves antituberculous chemotherapy and may require surgery for complications like bowel perforation or obstruction.

In simple words: Tuberculosis (TB) can sometimes affect the intestines, causing a condition called tuberculous enteritis. This happens when the bacteria that cause TB spread from the lungs to the intestines.Symptoms can include stomach pain, swelling, bleeding, and changes in bowel movements.It's more common in people who already have lung TB.

Tuberculous enteritis, a form of tuberculosis that affects the intestines. It typically occurs as a complication of pulmonary tuberculosis when Mycobacterium bacilli spread to the intestines. Symptoms may include abdominal swelling, tenderness, pain, rectal bleeding, constipation, ascites, weight loss, and potentially bowel obstruction or perforation.

Example 1: A patient with a history of pulmonary tuberculosis presents with abdominal pain, weight loss, and bloody stools. Diagnostic tests confirm tuberculous enteritis., An immunocompromised individual develops tuberculous enteritis after exposure to Mycobacterium tuberculosis, despite not exhibiting prior pulmonary symptoms., A patient undergoing treatment for pulmonary tuberculosis develops a bowel obstruction due to complications from tuberculous enteritis, requiring surgical intervention.

Documentation should include evidence of pulmonary tuberculosis, diagnostic findings confirming intestinal involvement (e.g., laboratory tests, imaging results, endoscopic findings), and details of treatment provided.

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