ICD-10-CM Billable Code

O98.013

Tuberculosis complicating pregnancy, third trimester

Clinical Classification Guidelines

Medical Intelligence & Overview

Tuberculosis (TB) is a bacterial infection caused by Mycobacterium tuberculosis, primarily affecting the lungs but capable of involving other parts of the body. When a pregnant woman develops TB during the third trimester, it can present unique health challenges for both mother and baby. The ICD-10 code O98.013 specifically identifies cases where TB complicates pregnancy during the final trimester, highlighting the importance of proper management to ensure maternal and fetal health.

Causes & Symptoms

Clinical Causes: Exposure to individuals with active tuberculosis. Living in areas with high TB prevalence. Compromised immune system, which can increase susceptibility. Previous TB infection that becomes active again. HIV infection or other health conditions affecting immune defenses. Malnutrition or poor general health. Close contact with someone who has active TB.

Key Symptoms: Persistent cough lasting more than three weeks. Fever, often low-grade but sometimes higher. Night sweats. Unexplained weight loss and fatigue. Chest pain or discomfort. Shortness of breath, especially if the lungs are involved. Loss of appetite. Blood in sputum (hemoptysis), in advanced cases.

Diagnostic & Treatment

Diagnosis Path: Diagnosing tuberculosis during pregnancy involves a combination of approaches tailored for expectant women, balancing safety concerns. Common methods include:

Treatment Protocols: The treatment of tuberculosis during pregnancy aims to eliminate the infection while minimizing risks to the fetus. The standard treatment typically includes:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is O98.013 a billable ICD-10 code?
Yes, O98.013 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report O98.013?
Clinical documentation must specify the nature of Tuberculosis complicating pregnancy, third trimester and any associated comorbidities for accurate reporting.

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