1. ICD-10-CM Codes
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2. A00-B99 Certain infectious and parasitic diseases
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3. A15-A19 Tuberculosis
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4. A18- Tuberculosis of other organs
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2019 ICD-10-CM Diagnosis Code A18.7

Tuberculosis of adrenal glands

2016 2017 2018 2019 Billable/Specific Code

• A18.7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2019 edition of ICD-10-CM A18.7 became effective on October 1, 2018.
• This is the American ICD-10-CM version of A18.7 - other international versions of ICD-10 A18.7 may differ.

• Tuberculosis (tb) adrenal glands

• 643 Endocrine disorders with mcc
• 644 Endocrine disorders with cc
• 645 Endocrine disorders without cc/mcc
• 974 Hiv with major related condition with mcc
• 975 Hiv with major related condition with cc
• 976 Hiv with major related condition without cc/mcc

Convert A18.7 to ICD-9-CM

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change

• Type 1 Excludes: E27.1
  , E35
  ICD-10-CM Diagnosis Code E27.1

  Primary adrenocortical insufficiency

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Addison's disease
  • Autoimmune adrenalitis

  Type 1 Excludes

  • Addison only phenotype adrenoleukodystrophy (E71.528)
  • amyloidosis (E85.-)
  • tuberculous Addison's disease (A18.7)
  • Waterhouse-Friderichsen syndrome (A39.1)
  ICD-10-CM Diagnosis Code E35

  Disorders of endocrine glands in diseases classified elsewhere

  2016 2017 2018 2019 Billable/Specific Code Manifestation Code

  Code First

  • underlying disease, such as:
  • late congenital syphilis of thymus gland [Dubois disease] (A50.5)

  Type 1 Excludes

  • Echinococcus granulosus infection of thyroid gland (B67.3)
  • meningococcal hemorrhagic adrenalitis (A39.1)
  • syphilis of endocrine gland (A52.79)
  • tuberculosis of adrenal gland, except calcification (A18.7)
  • tuberculosis of endocrine gland NEC (A18.82)
  • tuberculosis of thyroid gland (A18.81)
  • Waterhouse-Friderichsen syndrome (A39.1)

  Use Additional

  • code, if applicable, to identify:
  • sequelae of tuberculosis of other organs (B90.8)

• Addison's
  • disease (bronze) E27.1
    ICD-10-CM Diagnosis Code E27.1

    Primary adrenocortical insufficiency

    2016 2017 2018 2019 Billable/Specific Code

    Applicable To

    • Addison's disease
    • Autoimmune adrenalitis

    Type 1 Excludes

    • Addison only phenotype adrenoleukodystrophy (E71.528)
    • amyloidosis (E85.-)
    • tuberculous Addison's disease (A18.7)
    • Waterhouse-Friderichsen syndrome (A39.1)
    • tuberculous A18.7
• Adrenalism, tuberculous A18.7
• Disease, diseased - see also Syndrome
  • bronze Addison's E27.1
    ICD-10-CM Diagnosis Code E27.1

    Primary adrenocortical insufficiency

    2016 2017 2018 2019 Billable/Specific Code

    Applicable To

    • Addison's disease
    • Autoimmune adrenalitis

    Type 1 Excludes

    • Addison only phenotype adrenoleukodystrophy (E71.528)
    • amyloidosis (E85.-)
    • tuberculous Addison's disease (A18.7)
    • Waterhouse-Friderichsen syndrome (A39.1)
    • tuberculous A18.7
• Hypoadrenalism, hypoadrenia E27.40
  ICD-10-CM Diagnosis Code E27.40

  Unspecified adrenocortical insufficiency

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Adrenocortical insufficiency NOS
  • Hypoaldosteronism
  • tuberculous A18.7
• Melanosis L81.4
  ICD-10-CM Diagnosis Code L81.4

  Other melanin hyperpigmentation

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Lentigo
  • addisonian E27.1
    ICD-10-CM Diagnosis Code E27.1

    Primary adrenocortical insufficiency

    2016 2017 2018 2019 Billable/Specific Code

    Applicable To

    • Addison's disease
    • Autoimmune adrenalitis

    Type 1 Excludes

    • Addison only phenotype adrenoleukodystrophy (E71.528)
    • amyloidosis (E85.-)
    • tuberculous Addison's disease (A18.7)
    • Waterhouse-Friderichsen syndrome (A39.1)
    • tuberculous A18.7
• Tuberculosis, tubercular, tuberculous (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative) A15.9
  ICD-10-CM Diagnosis Code A15.9

  Respiratory tuberculosis unspecified

  2016 2017 2018 2019 Billable/Specific Code
  • Addison's disease A18.7
  • adrenal A18.7 (capsule) (gland)
  • bronze disease A18.7
  • glandula suprarenalis A18.7
  • hypoadrenalism A18.7
  • melanosis, Addisonian A18.7
  • suprarenal A18.7 (capsule) (gland)

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