Leprosy, tuberculoid
Chapter 1:Certain infectious and parasitic diseases
ICD-10 A30.2 is a billable code used to indicate a diagnosis of leprosy, tuberculoid.
Leprosy, also known as Hansen's disease, is a chronic infectious disease caused by the bacterium Mycobacterium leprae. Tuberculoid leprosy is one of the two major forms of the disease, characterized by a strong immune response that limits the spread of the bacteria. Patients typically present with a few well-defined skin lesions that are hypopigmented and may be numb due to peripheral nerve damage. The lesions are often accompanied by a loss of sensation and can lead to significant disability if not treated. Diagnosis is primarily clinical, supported by skin smears and biopsies that may reveal the presence of M. leprae. Treatment involves multi-drug therapy (MDT) with rifampicin and dapsone, which is effective in curing the disease and preventing transmission. Tuberculoid leprosy is less contagious than lepromatous leprosy, and patients usually have a better prognosis. However, early diagnosis and treatment are crucial to prevent complications and disability.
Detailed clinical notes on symptoms, laboratory results, and treatment plans.
Diagnosis and management of leprosy, monitoring treatment response, and managing complications.
Ensure accurate coding based on clinical findings and laboratory confirmation.
Photographic evidence of skin lesions, detailed descriptions of lesions, and sensory testing results.
Evaluation of skin lesions, differential diagnosis of skin conditions, and management of leprosy-related skin issues.
Document the extent of nerve involvement and sensory loss for accurate coding.
Used to confirm diagnosis of leprosy when skin lesions are present.
Document the location of the biopsy, findings, and rationale for the procedure.
Ensure that the biopsy is performed by a qualified specialist.
The primary treatment for tuberculoid leprosy is multi-drug therapy (MDT) which typically includes rifampicin and dapsone. Treatment duration is usually 6 months.