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ICD Hub / Diseases of the skin (L00–L99) / EA51 - Skin complications of BCG immunisation
ICD-11

ICD-11 Codes
for EA51 - Skin complications of BCG immunisation
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Understanding Skin Complications of BCG Immunisation (ICD-11 Code EA51)

The Bacillus Calmette-Guérin (BCG) vaccine is a widely used preventative measure against tuberculosis. While its benefits are significant, it can occasionally lead to various skin complications. These reactions, classified under the ICD-11 code EA51, are typically localised to the injection site but can sometimes present more broadly. Awareness of these potential outcomes is vital for both healthcare providers managing immunisations and patients receiving them.

Synonyms and Alternative Terms for BCG Skin Complications

In clinical settings and medical literature, 'Skin complications of BCG immunisation' may be referred to by several other terms. These synonyms are important for comprehensive medical record-keeping and for ensuring that all related conditions are correctly identified. Common alternative terms include:
  • BCG granuloma
  • BCG ulcer
  • BCG-induced lupus vulgaris
  • BCG-induced regional lymphadenopathy
  • BCG-induced scroderma

Common Symptoms and Presentation of BCG Skin Reactions

Following BCG immunisation, patients may experience a range of skin reactions, often appearing within a few weeks of the vaccination. The presentation can vary, but common manifestations include:
  • Localised reactions at the injection site, such as pustules or ulceration.
  • The development of keloids or hypertrophic scars.
  • Delayed granuloma formation.
  • Cutaneous abscesses.
  • More rarely, conditions like juvenile sarcoidosis or lupus vulgaris may develop.
Some local cutaneous reactions, such as pustules at the injection site that may become ulcerated, can be observed within 2-3 weeks post-vaccination. While minor skin reactions at the BCG vaccination site are common and often resolve on their own, certain symptoms necessitate professional medical evaluation. Patients should consult a healthcare provider if they experience:
  • Severe or persistent redness, swelling, or pain at the injection site that does not improve over time.
  • The formation of large ulcers, pustules, or draining abscesses.
  • Unusual skin lesions appearing elsewhere on the body after vaccination.
  • Signs of infection, such as fever, chills, or spreading redness around the site.
Prompt medical assessment is key to managing these complications effectively and preventing further health concerns.

Documentation and Coding Considerations for EA51

Accurate documentation and coding are fundamental for effective patient care and administrative processes. For skin issues arising from BCG immunisation, the specific ICD-11 code EA51 should be used. This code, officially titled 'Skin complications of BCG immunisation', ensures precise classification. When documenting, healthcare professionals should detail the specific skin manifestation, its onset relative to the vaccination, and any treatments administered. This detailed approach supports accurate medical record-keeping and facilitates correct billing. The ICD-11 code for Skin complications of BCG immunisation is EA51.

Is ICD-11 Code EA51 Billable and Reportable?

Yes, the ICD-11 code EA51, 'Skin complications of BCG immunisation', is both billable and reportable. Healthcare providers can utilise this code when diagnosing and managing patients presenting with skin complications following BCG vaccination. Correctly applying this code ensures appropriate reimbursement for services rendered and contributes to valuable public health data on vaccine-related adverse events. This code is used for billing and reporting purposes related to BCG immunisation side effects.

Frequently asked questions

What is the ICD-11 classification for 'Skin complications of BCG immunisation'?
The ICD-11 classification for 'Skin complications of BCG immunisation' is EA51.
What does ICD-11 code EA51, 'Skin complications of BCG immunisation', describe?
ICD-11 code EA51 describes complications that occur secondary to immunization with attenuated Mycobacterium bovis (Bacillus Calmette-Guérin or BCG).
What conditions are excluded from ICD-11 code EA51, 'Skin complications of BCG immunisation'?
ICD-11 code EA51 excludes 'Cutaneous tuberculosis' (1B12.8), 'BCG-induced tuberculid' (EA5Y), and 'Adverse reaction to BCG immunization' (PK81.7).
What are alternative terms used for ICD-11 code EA51, 'Skin complications of BCG immunisation'?
Alternative terms for ICD-11 code EA51 include BCG granuloma, BCG ulcer, BCG-induced lupus vulgaris, BCG-induced regional lymphadenopathy, and BCG-induced scrofuloderma.
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