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ICD-10 Guide
ICD-10 CodesA18.82

A18.82

Tuberculosis of other endocrine glands

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A18.82 is a billable code used to indicate a diagnosis of tuberculosis of other endocrine glands.

Key Diagnostic Point:

Tuberculosis (TB) of other endocrine glands refers to the infection of endocrine glands, such as the adrenal glands, thyroid, or pituitary gland, by Mycobacterium tuberculosis. This condition is less common than pulmonary TB but can lead to significant morbidity if not diagnosed and treated promptly. The clinical presentation may vary depending on the gland involved. For instance, adrenal TB can cause adrenal insufficiency, leading to symptoms such as fatigue, weight loss, and hypotension. Diagnosis typically involves a combination of clinical evaluation, imaging studies (like CT scans), and microbiological tests, including sputum tests and biopsy of affected tissues. Treatment usually consists of a multi-drug regimen over an extended period, often 6 to 12 months, to ensure complete eradication of the bacteria and prevent drug resistance. Monitoring for treatment efficacy and side effects is crucial, as is public health reporting due to the contagious nature of TB. Contact tracing may be necessary to identify and treat individuals who may have been exposed to the infected patient. Isolation procedures may be required in cases of active TB to prevent transmission.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of TB infections
  • Understanding the specific endocrine gland affected
  • Knowledge of associated symptoms and complications
  • Awareness of treatment protocols and monitoring requirements

Audit Risk Factors

  • Inadequate documentation of the specific gland affected
  • Failure to document the presence of symptoms related to endocrine dysfunction
  • Lack of clarity in treatment plans and monitoring
  • Insufficient public health reporting

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed clinical notes on endocrine function tests, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with unexplained weight loss, fatigue, or adrenal crisis.

Billing Considerations

Endocrinologists must document the impact of TB on hormonal levels and endocrine function.

Infectious Disease

Documentation Requirements

Comprehensive records of TB testing, treatment regimens, and follow-up care.

Common Clinical Scenarios

Patients with confirmed TB requiring management of co-existing endocrine disorders.

Billing Considerations

Infectious disease specialists should ensure accurate reporting of TB cases to public health authorities.

Coding Guidelines

Inclusion Criteria

Use A18.82 When
  • Follow the ICD
  • CM coding guidelines for tuberculosis, ensuring accurate documentation of the specific endocrine gland involved
  • Include any relevant symptoms and treatment details

Exclusion Criteria

Do NOT use A18.82 When
  • Exclude cases of TB that are not specifically affecting endocrine glands

Related CPT Codes

86580CPT Code

Tuberculin skin test

Clinical Scenario

Used for screening patients at risk for TB.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Endocrinologists should note any endocrine dysfunction that may affect test results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of TB cases, including those affecting endocrine glands, improving data accuracy and public health reporting.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of TB cases, including those affecting endocrine glands, improving data accuracy and public health reporting.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of TB cases, including those affecting endocrine glands, improving data accuracy and public health reporting.

Resources

Clinical References

  • •
    CDC Tuberculosis Guidelines

Coding & Billing References

  • •
    CDC Tuberculosis Guidelines

Frequently Asked Questions

What are the common symptoms of tuberculosis of endocrine glands?

Common symptoms include fatigue, weight loss, hormonal imbalances, and signs of adrenal insufficiency, depending on the gland affected.