A18.7 is a billable ICD-10 code used to specify a medical diagnosis of tuberculosis of adrenal glands. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Addison's disease
- Infection of endocrine gland caused by Mycobacterium tuberculosis
- Tuberculosis of adrenal glands
- Tuberculous Addison's disease
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Tuberculous Addison's disease
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
- - Adrenalism, 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
Convert to ICD-9 Code
|Source ICD-10 Code||Target ICD-9 Code|
|A18.7||017.60 - TB of adrenal-unspec|
|Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.|
Adrenal Gland Disorders
What are adrenal glands?
Your adrenal glands are two small organs that sit on top of each kidney. The adrenal glands make different types of hormones you need to stay alive and healthy. Hormones are chemicals that travel in your bloodstream and control how different parts of your body work.
The adrenal glands make the hormones cortisol, aldosterone, adrenaline, and noradrenaline. They also make hormones that your body uses to make sex hormones (estrogen and testosterone). All of these hormones do many important jobs, including:
- Turning food into energy and managing blood sugar levels
- Balancing salt and water
- Keeping blood pressure normal
- Responding to illness and stress (your "fight or flight" response)
- Timing when and how fast a child develops sexually
- Supporting pregnancy
What are adrenal gland disorders?
When you have an adrenal gland disorder, your body makes too much or too little of one or more hormones. The symptoms depend on the type of problem you have and how much it affects the hormone levels in your body.
There are many types of adrenal gland disorders, including:
- Addison's Disease - a condition in which the adrenal glands don't make enough cortisol
- Cushing's Syndrome - a condition caused by too much cortisol in the body, often from taking steroid medicines for a long time
- Aldosterone-producing adenoma - a benign tumor (not cancer) that makes too much aldosterone and may cause serious high blood pressure
- Hereditary paraganglioma-pheochromocytoma - an inherited condition causing different types of tumors that make adrenaline and other hormones. Some tumors may become cancerous.
- Adrenal gland cancer - cancerous tumors, including adrenocortical carcinoma and neuroblastoma
- Congenital Adrenal Hyperplasia (CAH) - a group of inherited disorders in which the adrenal glands don't make enough cortisol. The most common type is 21-hydroxylase deficiency (also called CAH1). In the United States, newborn babies get a blood test to see if they have CAH. People born with CAH may not have symptoms until childhood or later in life.
What causes adrenal gland disorders?
The cause of adrenal gland disorders depends on the type of disorder you have. Causes can include:
- Medicines such as steroids
- A problem in another gland, such as the pituitary gland. The pituitary gland releases hormones that affect how the adrenal glands work.
- Changes in genes (mutations). These changes can cause the adrenal glands to make too much or too little of one or more hormones.
In many cases the cause of the problem isn't clear.
How are adrenal gland disorders diagnosed?
Health care providers use different tests to check for adrenal disorders depending on your symptoms and health history. For example, you may have tests of your blood, urine (pee), or saliva (spit). These tests check your hormone levels. Your provider may order x-rays, CT scans, or MRI scans to look for tumors.
What are the treatments for adrenal gland disorders?
Different types of adrenal gland disorders have different treatments. They include medicines and surgery. Radiation therapy is sometimes a treatment for tumors. There are treatments to cure certain adrenal gland disorders. For other disorders, treatments can manage your symptoms.
NIH: National Institute of Child Health and Human Development
[Learn More in MedlinePlus]
What is tuberculosis (TB)?
Tuberculosis (TB) is a bacterial disease that usually attacks the lungs. But it can also attack other parts of the body, including the kidneys, spine, and brain.
Not everyone infected with TB bacteria (germs) becomes sick. So, there are two types of TB conditions:
- Latent TB infection, where the TB germs live in your body but don't make you sick.
- TB disease (active TB) where you get sick from the TB germs. TB disease can almost always be cured with antibiotics. But if it's not treated properly, it can be fatal.
TB is found in the U.S., but it is more common in certain other countries.
What causes tuberculosis (TB)?
TB is caused by bacteria (germs) called Mycobacterium tuberculosis. The germs spread from person to person through the air. People who have TB disease in their throat or lungs spread the germs in the air when they cough, sneeze, talk, or sing. If you breathe in the air that has the germs, you can get TB. TB is not spread by touching, kissing, or sharing food or dishes.
You're more likely to catch TB from people you live or work with than from people you see for shorter amounts of time.
Who is more likely to get infected with tuberculosis (TB) germs?
Anyone who is near a person with TB disease can get infected with the germs. You are more likely to be near someone with TB disease if you:
- Were born in or often travel to countries where TB disease is common
- Are a health care worker
- Work or live in a place where TB is more common, such as shelters for people without homes, jails, and nursing homes
Who is more likely to develop TB disease?
Certain people are more likely to get sick with TB disease after they get infected. They include people who:
- Have HIV/AIDS
- Became infected with TB in the last 2 years
- Have other diseases, such as diabetes, that make it hard for your body to fight TB germs
- Have alcohol use disorder or inject illegal drugs
- Were not treated correctly for TB in the past
- Are under age 5
- Are an older adult
What are the symptoms of tuberculosis (TB)?
Most people who have TB germs in their bodies don't get sick with TB disease. Instead, they have latent TB infection. With a latent TB infection, you:
- Don't have symptoms
- Can't spread TB to others
- Could get sick with active TB disease in the future if your immune system becomes weak for another reason
- Need to take medicine to prevent getting sick with active TB disease in the future
If you have TB disease, the TB germs are active, meaning that they are growing (multiplying) inside your body and making you sick. If the TB is growing in your lungs or throat, you can spread the TB germs to other people. You can get sick with TB disease weeks to years after you're infected with TB germs.
With TB disease, your symptoms will depend on where the TB is growing in your body
- General symptoms may include:
- Chills and fever
- Night sweats (heavy sweating during sleep)
- Losing weight without trying
- Loss of appetite
- Weakness or fatigue
- Symptoms from TB disease in your lungs may include:
- A cough that lasts longer than 3 weeks
- Coughing up blood or sputum (a thick mucus from the lungs)
- Chest pain
How is tuberculosis (TB) diagnosed?
Your health care provider or your local health department can test you to find out if you have TB germs in your body. They will give you either a TB skin or blood test.
If your test shows that you have TB germs, you'll need to have other tests to see if the germs are actively growing:
- Tests for TB disease in the lungs usually include testing samples of your sputum and having chest x-rays.
- Tests for TB disease in other parts of your body may include tests of urine and tissue samples.
You may need a TB test if you have symptoms of TB disease or if you are at high risk because you are more likely to be near someone with TB disease.
What is the treatment for tuberculosis (TB)?
The treatment for both latent TB infection and TB disease is antibiotics. To make sure you get rid of all the TB germs in your body, it's very important to follow the directions for taking your medicine.
If you don't follow the directions, the TB germs in your body could change and become antibiotic resistant. That means the medicine may stop working and your TB may become hard to cure.
- For latent TB infections, you usually take medicines for 3 to 9 months. Treatment helps make sure you don't get TB disease in the future.
- For active TB disease, you usually need to take medicines for 6 to 12 months. Treatment will almost always cure you if you take your pills the right way.
- For TB disease in your lungs or throat, you'll need to stay home for a few weeks, so you don't spread disease to other people. You can protect the people you live with by:
- Covering your nose and mouth.
- Opening windows when possible.
- Not getting too close to them.
By following medical advice for TB testing and treatment, you can keep yourself healthy and help stop the spread of TB.
Centers for Disease Control and Prevention
[Learn More in MedlinePlus]
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)