Generalized tularemia

This code signifies a systemic infection caused by the bacterium Francisella tularensis, affecting multiple organ systems throughout the body. It represents the most severe form of tularemia, often involving bacteremia and widespread dissemination of the pathogen.

Use this code when documentation explicitly states "generalized tularemia" or describes a systemic Francisella tularensis infection with involvement beyond a localized site (e.g., pneumonic, typhoidal, or septicemic forms). Supporting documentation includes positive cultures, serology, or PCR for F. tularensis in conjunction with systemic symptoms and multi-organ involvement.

• Differentiate from localized forms of tularemia (e.g., ulceroglandular, oculoglandular) which have specific codes.
• Always review documentation for the specific type of tularemia to ensure accurate code assignment.
• Consider sequencing this code as the primary diagnosis when it is the reason for the encounter.