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v1.0.0
ICD-10 Guide
ICD-10 CodesA22.9

A22.9

Pulmonary tularemia

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

Code Description

ICD-10 A22.9 is a billable code used to indicate a diagnosis of pulmonary tularemia.

Key Diagnostic Point:

Pulmonary tularemia is a severe zoonotic infection caused by the bacterium Francisella tularensis, primarily affecting the lungs. It is transmitted to humans through contact with infected animals, bites from infected insects, or inhalation of contaminated aerosols. The disease can manifest as pneumonia, characterized by symptoms such as fever, cough, chest pain, and difficulty breathing. Inhalation of the bacteria can lead to a more severe form of the disease, with potential complications including respiratory failure and sepsis. Diagnosis is often confirmed through serological tests or culture of the organism from clinical specimens. Public health measures are crucial in controlling outbreaks, as tularemia can be transmitted from animals to humans, particularly in rural areas where exposure to infected wildlife is common. Awareness of the disease's transmission routes and clinical presentation is essential for timely diagnosis and treatment, which typically involves antibiotics such as streptomycin or doxycycline.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Zoonotic nature requiring understanding of animal reservoirs
  • Varied clinical presentations complicating diagnosis
  • Potential for severe respiratory involvement
  • Need for specific laboratory confirmation

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to specify pulmonary involvement
  • Misdiagnosis due to similarity with other respiratory infections
  • Lack of laboratory confirmation in records

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history including exposure risks, clinical symptoms, and laboratory results.

Common Clinical Scenarios

Patients presenting with pneumonia-like symptoms after exposure to wildlife or insect bites.

Billing Considerations

Ensure clear documentation of the diagnosis and treatment plan, including antibiotic therapy.

Pulmonology

Documentation Requirements

Comprehensive pulmonary function tests and imaging studies to assess lung involvement.

Common Clinical Scenarios

Patients with respiratory distress and a history of potential exposure to tularemia.

Billing Considerations

Document any respiratory complications and the response to treatment.

Coding Guidelines

Inclusion Criteria

Use A22.9 When
  • Follow the ICD
  • CM guidelines for coding infectious diseases, ensuring accurate documentation of the clinical presentation and any laboratory findings
  • Include any relevant exposure history to support the diagnosis

Exclusion Criteria

Do NOT use A22.9 When
No specific exclusions found.

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when confirming the diagnosis of pulmonary tularemia.

Documentation Requirements

Document the source of the culture and clinical symptoms.

Specialty Considerations

Infectious disease specialists should ensure cultures are properly labeled and handled.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of pulmonary tularemia, improving the accuracy of epidemiological tracking and resource allocation for public health interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pulmonary tularemia, improving the accuracy of epidemiological tracking and resource allocation for public health interventions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pulmonary tularemia, improving the accuracy of epidemiological tracking and resource allocation for public health interventions.

Resources

Clinical References

  • •
    Centers for Disease Control and Prevention - Tularemia

Coding & Billing References

  • •
    Centers for Disease Control and Prevention - Tularemia

Frequently Asked Questions

What are the common symptoms of pulmonary tularemia?

Common symptoms include fever, cough, chest pain, and difficulty breathing, often following exposure to infected animals or environments.