2025 ICD-10-CM code B90
This code represents the after-effects of tuberculosis, encompassing a range of conditions caused by the residual effects of the disease even after active infection is gone.
Medical necessity for treatment of sequelae of tuberculosis is established by documenting the direct link between the current condition and the previous TB infection. This requires evidence of prior TB diagnosis and treatment, along with current symptoms and diagnostic findings supporting the specific sequela.
Clinicians should assess patients for a history of TB, evaluate current symptoms (cough, shortness of breath, chest pain, etc.), conduct physical exams, and utilize imaging studies (chest X-rays, CT scans) and pulmonary function tests to diagnose and manage the sequelae. Treatment depends on the specific complications and may involve medications, physiotherapy, surgery, or other interventions.
- Certain infectious and parasitic diseases (A00-B99)
- Sequelae of infectious and parasitic diseases (B90-B94)
In simple words: Sequelae of tuberculosis means the lasting effects that can happen after someone has had tuberculosis (TB), even after the infection is cured.These after-effects could be problems in the lungs, like scarring or difficulty breathing, or other issues depending on where the TB was in the body.
Sequelae of tuberculosis refers to the long-term health problems that can occur as a result of past tuberculosis (TB) disease, even after the active infection has been treated. These after-effects can affect various organs depending on where the TB infection was located. Sequelae can include lung damage (such as fibrosis, bronchiectasis, and aspergilloma), pleural thickening, impaired lung function, joint and bone problems, and other organ-specific complications.
Example 1: A patient presents with persistent cough and shortness of breath years after being treated for pulmonary TB. Imaging reveals lung fibrosis, diagnosed as a sequela of the previous TB infection., A patient with a history of TB develops chronic joint pain and stiffness. Examination reveals joint damage attributable to the past TB infection., A patient experiences recurrent hemoptysis following TB treatment. A CT scan reveals aspergilloma (fungal ball) in the lung cavity, a long-term complication of the prior TB disease.
Documentation should include a detailed history of past TB infection, including treatment details, current symptoms, physical exam findings, results of imaging studies (chest X-rays, CT scans), pulmonary function tests, and other relevant diagnostic tests.The specific sequelae should be clearly documented, along with the treatment plan.
** It is crucial to differentiate sequelae of tuberculosis from active or recurrent TB disease. Proper diagnosis and documentation are essential for appropriate management and coding.This information is current as of November 30, 2024.
- Specialties:Pulmonology, Infectious Disease, Internal Medicine, Family Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic, Federally Qualified Health Center