Tuberculosis of adrenal glands

This code identifies a specific manifestation of tuberculosis affecting the adrenal glands. It indicates an active or historical infection where Mycobacterium tuberculosis has localized in one or both adrenal glands, potentially leading to adrenal insufficiency (Addison's disease) if significant glandular destruction occurs.

Apply this code when documentation explicitly states a diagnosis of tuberculosis of the adrenal glands. This diagnosis is typically supported by imaging findings, biopsy results confirming granulomatous inflammation with acid-fast bacilli, or a strong clinical suspicion in a patient with a history of tuberculosis and adrenal dysfunction.

• Ensure documentation clearly specifies "adrenal glands" as the affected site of tuberculosis, not just a general diagnosis of tuberculosis.
• Code any associated adrenal insufficiency (e.g., E27.1 for primary adrenal insufficiency) as a secondary diagnosis.
• Do not use this code for latent tuberculosis infection without active adrenal involvement.