2023

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  4. Histoplasmosis B39

Histoplasmosis B39-

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Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for any associated manifestations, such as:
  • endocarditis (
    ICD-10-CM Diagnosis Code I39

    Endocarditis and heart valve disorders in diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Manifestation Code
    Code First
    • underlying disease, such as:
    • Q fever (A78)
    Type 1 Excludes
    I39
    )
  • meningitis (
    ICD-10-CM Diagnosis Code G02

    Meningitis in other infectious and parasitic diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Manifestation Code
    Code First
    • underlying disease, such as:
    • African trypanosomiasis (B56.-)
    • poliovirus infection (A80.-)
    Type 1 Excludes
    • candidal meningitis (B37.5)
    • coccidioidomycosis meningitis (B38.4)
    • cryptococcal meningitis (B45.1)
    • herpesviral [herpes simplex] meningitis (B00.3)
    • infectious mononucleosis complicated by meningitis (B27.- with fifth character 2)
    • measles complicated by meningitis (B05.1)
    • meningoencephalitis and meningomyelitis in other infectious and parasitic diseases classified elsewhere (G05)
    • mumps meningitis (B26.1)
    • rubella meningitis (B06.02)
    • varicella [chickenpox] meningitis (B01.0)
    • zoster meningitis (B02.1)
    G02
    )
  • pericarditis (
    ICD-10-CM Diagnosis Code I32

    Pericarditis in diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Manifestation Code
    Code First
    • underlying disease
    Type 1 Excludes
    I32
    )
  • retinitis (
    ICD-10-CM Diagnosis Code H32

    Chorioretinal disorders in diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Manifestation Code
    Code First
    • underlying disease, such as:
    • congenital toxoplasmosis (P37.1)
    • histoplasmosis (B39.-)
    • leprosy (A30.-)
    Type 1 Excludes
    • chorioretinitis (in):
    • toxoplasmosis (acquired) (B58.01)
    • tuberculosis (A18.53)
    H32
    )
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • associated AIDS (
    ICD-10-CM Diagnosis Code B20

    Human immunodeficiency virus [HIV] disease

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Code First
    • Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)
    Includes
    • acquired immune deficiency syndrome [AIDS]
    • AIDS-related complex [ARC]
    • HIV infection, symptomatic
    Type 1 Excludes
    • asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
    • exposure to HIV virus (Z20.6)
    • inconclusive serologic evidence of HIV (R75)
    Use Additional
    • code(s) to identify all manifestations of HIV infection
    B20
    )
Clinical Information
  • A disease caused by the fungus histoplasma capsulatum. It primarily affects the lungs but can also occur as a disseminated disease that affects additional organs. The acute respiratory disease has symptoms similar to those of a cold or flu and it usually resolves without treatment in healthy individuals. The disseminated form is generally fatal if untreated.
  • A kind of fungal infection
  • Histoplasmosis is a disease caused by a fungus (or mold.) the fungus is common in the eastern and central United States. It grows in soil and material contaminated with bat or bird droppings. You get infected by breathing the fungal spores. You cannot get the infection from someone else.histoplasmosis is often mild, with no symptoms. If you do get sick, it usually affects your lungs. Symptoms include feeling ill, fever, chest pains, and a dry cough. In severe cases, histoplasmosis spreads to other organs; this is called disseminated disease. Disseminated disease is more common in infants, young children, seniors, and people with immune system problems.tests for histoplasmosis include blood or urine tests and tissue samples. Chest x-rays and ct scans may also help to diagnose it. Mild cases usually get better without treatment. Treatment of severe or chronic cases is with antifungal drugs. Centers for Disease Control and Prevention.
  • Infection resulting from inhalation or ingestion of spores of the fungus of the genus histoplasma, species h. Capsulatum. It is worldwide in distribution and particularly common in the midwestern United States. (from Dorland, 27th ed)
  • Infection resulting from inhalation or ingestion of spores of the fungus of the genus histoplasma; worldwide in distribution and particularly common in the midwestern United States.
Codes
  • B39 Histoplasmosis
    • B39.0 Acute pulmonary histoplasmosis capsulati
    • B39.1 Chronic pulmonary histoplasmosis capsulati
    • B39.2 Pulmonary histoplasmosis capsulati, unspecified
    • B39.3 Disseminated histoplasmosis capsulati
    • B39.4 Histoplasmosis capsulati, unspecified
    • B39.5 Histoplasmosis duboisii
    • B39.9 Histoplasmosis, unspecified

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