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v1.0.0
ICD-10 Guide
ICD-10 CodesB58.83

B58.83

Toxoplasma tubulo-interstitial nephropathy

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

Code Description

ICD-10 B58.83 is a billable code used to indicate a diagnosis of toxoplasma tubulo-interstitial nephropathy.

Key Diagnostic Point:

Toxoplasma tubulo-interstitial nephropathy is a renal condition caused by the protozoan parasite Toxoplasma gondii. This infection is particularly significant in immunocompromised patients, such as those with HIV/AIDS or those undergoing immunosuppressive therapy. The condition manifests as inflammation of the renal tubules and interstitium, leading to impaired kidney function. Symptoms may include flank pain, hematuria, and renal insufficiency. Diagnosis is typically confirmed through serological testing for Toxoplasma antibodies and imaging studies that may reveal renal abnormalities. Treatment involves the use of antiparasitic medications such as pyrimethamine and sulfadiazine, along with supportive care to manage renal function. Early recognition and treatment are crucial to prevent long-term renal damage and complications associated with chronic kidney disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of protozoal infections and their renal implications.
  • Differentiation from other causes of tubulo-interstitial nephropathy.
  • Need for accurate serological testing documentation.
  • Potential overlap with other infectious diseases.

Audit Risk Factors

  • Inadequate documentation of serological test results.
  • Failure to note immunocompromised status of the patient.
  • Misclassification of nephropathy type.
  • Lack of clear treatment documentation.

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed renal function tests, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with renal failure and a history of Toxoplasma infection.

Billing Considerations

Ensure documentation reflects the severity of renal impairment and any comorbid conditions.

Infectious Disease

Documentation Requirements

Serological test results, treatment regimens, and patient history.

Common Clinical Scenarios

Immunocompromised patients with renal symptoms and positive Toxoplasma serology.

Billing Considerations

Document the patient's immune status and any concurrent infections.

Coding Guidelines

Inclusion Criteria

Use B58.83 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases and nephropathy
  • Ensure that documentation supports the diagnosis, including serological testing and clinical findings

Exclusion Criteria

Do NOT use B58.83 When
No specific exclusions found.

Related CPT Codes

86777CPT Code

Toxoplasma antibody test

Clinical Scenario

Used to confirm diagnosis in suspected cases of Toxoplasma infection.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of infectious diseases, including Toxoplasma-related conditions, improving data accuracy and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of infectious diseases, including Toxoplasma-related conditions, improving data accuracy and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of infectious diseases, including Toxoplasma-related conditions, improving data accuracy and treatment tracking.

Resources

Clinical References

  • •
    CDC Toxoplasmosis Information

Coding & Billing References

  • •
    CDC Toxoplasmosis Information

Frequently Asked Questions

What are the common symptoms of Toxoplasma tubulo-interstitial nephropathy?

Common symptoms include flank pain, hematuria, and signs of renal insufficiency such as decreased urine output and elevated creatinine levels.