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2025 ICD-10-CM code K90.81

Whipple's disease. This is a rare, systemic infectious disease caused by the bacterium Tropheryma whipplei.

Medical necessity for procedures and treatments related to Whipple's disease should be documented based on the patient's specific symptoms, diagnostic findings, and the established treatment guidelines for this condition.

Diagnosis and treatment of Whipple's disease typically involves gastroenterologists, infectious disease specialists, and potentially other specialists depending on the affected organ systems.Diagnosis relies on a combination of clinical findings, endoscopic biopsy with histological examination (showing PAS-positive macrophages), and PCR testing for T. whipplei. Long-term antibiotic therapy is the standard treatment.

In simple words: Whipple's disease is a very rare infection that can affect many parts of the body. It's caused by bacteria called Tropheryma whipplei. It most often causes problems with digestion but can also affect joints, the brain, heart, and lungs.

Whipple's disease is a rare, systemic infectious disease caused by the bacterium Tropheryma whipplei. It primarily affects the small intestine but can involve multiple organ systems, including the joints, central nervous system, heart, and lungs.The disease is characterized by the accumulation of foamy macrophages containing the bacteria in the lamina propria of the small intestine, leading to malabsorption.

Example 1: A 50-year-old male presents with chronic diarrhea, weight loss, abdominal pain, and joint pain.Endoscopic biopsy reveals foamy macrophages in the small intestine, and PCR confirms the presence of T. whipplei, leading to a diagnosis of Whipple's disease., A patient with a history of unexplained neurological symptoms undergoes a diagnostic workup, which includes PCR testing of cerebrospinal fluid. The test is positive for T. whipplei, indicating central nervous system involvement in Whipple's disease. , A patient being treated for Whipple's disease with long-term antibiotics develops new cardiac symptoms. Further investigation reveals endocarditis caused by T. whipplei, highlighting the potential for multi-organ involvement.

Documentation for Whipple's disease should include details of the patient's symptoms (diarrhea, weight loss, abdominal pain, joint pain, etc.), results of endoscopic biopsies (including histological findings and PCR testing), and details of the antibiotic treatment plan.

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