Tuberculose como doença definidora de SIDA

por amaral bernardo Qua 10 Abr 2019, 06:26

"Não encontro história de TP (tuberculose pulmonar) passada e curada, para colocar como diagnóstico de SIDA.
Coloco A15.0 ?"

(Responde Fernando Lopes)

A entrada do índice alfabético para codificar a história pessoal de tuberculose não é direta mas encontra-se por:

History
- personal (of) - see also History, family (of)
- - disease or disorder (of)
- - - infectious Z86.19
- - - - tuberculosis Z86.11

Num doente com infeção pelo VIH e uma história pessoal de tuberculose deve codificar-se SIDA de acordo com as Guidelines

Patient admitted for HIV-related condition
If a patient is admitted for an HIV-related condition, the principal diagnosis should be B20, Human immunodeficiency virus [HIV] disease followed by additional diagnosis codes for all reported HIV-related conditions. (ICD-10-CM Official Guidelines for Coding and Reporting, FY 2019, Page 21 of 120)

Asymptomatic human immunodeficiency virus
Z21, Asymptomatic human immunodeficiency virus [HIV] infection status, is to be applied when the patient without any documentation of symptoms is listed as being “HIV positive,” “known HIV,” “HIV test positive,” or similar terminology. Do not use this code if the term “AIDS” is used or if the patient is treated for any HIV-related illness or is described as having any condition(s) resulting from his/her HIV positive status; use B20 in these cases. (ICD-10-CM Official Guidelines for Coding and Reporting, FY 2019, Page 22 of 120)

No caso referido codificar-se-á B20 + Z86.11
Só se a tuberculose pulmonar estivesse ativa é que se aplicaria B20 + A15.0

Fernando Lopes

Seg	Ter	Qua	Qui	Sex	Sáb	Dom
1	2	3	4	5	6	7
8	9	10	11	12	13	14
15	16	17	18	19	20	21
22	23	24	25	26	27	28
29	30