A15 ICD-10-CM Code: Respiratory tuberculosis
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 7 Excludes1 · 1 use-additional code
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for A15 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on A15 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- infections due to Mycobacterium tuberculosis and Mycobacterium bovis
Source: inherited from A15-A19
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- congenital tuberculosis (P37.0) Compare A15 vs P37.0 →
- nonspecific reaction to test for tuberculosis without active tuberculosis (R76.1-) Compare A15 vs R76.1 →
- pneumoconiosis associated with tuberculosis, any type in A15 (J65) Compare A15 vs J65 →
- positive PPD (R76.11) Compare A15 vs R76.11 →
- positive tuberculin skin test without active tuberculosis (R76.11) Compare A15 vs R76.11 →
- sequelae of tuberculosis (B90.-) Compare A15 vs B90 →
- silicotuberculosis (J65) Compare A15 vs J65 →
Source: inherited from A15-A19
Coder workflow for A15
MedCoder structured workflow — derived from this code’s own official record
Before you code A15
- A15 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewA15.0, A15.4, A15.5, A15.6, A15.7, A15.8, A15.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with A15. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath A15?
Yes → Select that code and continue the checks below on its own page.
No → A15 cannot be reported as written; query for the specificity its subcategory needs. - Does the documentation support a condition named in A15’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider A15. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- The conditions the Use Additional Code note names
- Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Official instructions as workflow
Excludes1 — check before selecting A15(7 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with A15: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareP37.0, R76.1, J65, R76.11, B90
See the official tabular notes · Guidelines I.A.12.a
Use Additional Code — after identifying A15(1 note)
Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with A15 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.
ReviewE88.A
See the official tabular notes · Guidelines I.A.13
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition A15 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Documentation: A condition the Use Additional Code note names is documented.
Coding question: Is a second code reported with A15?
Path: Review the Use Additional Code note and the code it names.
Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).
ReviewE88.A
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name A15 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 3 Excludes1 notes: J93 — Pneumothorax and air leak, J94 — Other pleural conditions, J98.11 — Atelectasis.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 1 Excludes2 note: A31 — Infection due to other mycobacteria.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 1 Code Also instruction: D61.82 — Myelophthisis.
These codes suggest coding this condition alongside when both are present.
Contextual Map
Every relationship of A15 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run A15 with these 11 related codes in Claim Check
Hierarchy
- A00-B99 — Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) (A00-B99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A15-A19 — Tuberculosis[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes1
- B90 — Sequelae of tuberculosis[Excludes1]: “sequelae of tuberculosis (B90.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J65 — Pneumoconiosis associated with tuberculosis[Excludes1]: “pneumoconiosis associated with tuberculosis, any type in A15 (J65)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- P37.0 — Congenital tuberculosis[Excludes1]: “congenital tuberculosis (P37.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R76.1 — Nonspecific reaction to test for tuberculosis[Excludes1]: “nonspecific reaction to test for tuberculosis without active tuberculosis (R76.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R76.11 — Nonspecific reaction to tuberculin skin test without active tuberculosis[Excludes1]: “positive PPD (R76.11)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Use Additional Code
- E88.A — Wasting disease (syndrome) due to underlying condition[Use Additional Code]: “code, if applicable, for associated cachexia (E88.A)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes1 notes
- J93 — Pneumothorax and air leak[Excludes1]: “tuberculous (current disease) pneumothorax (A15.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J94 — Other pleural conditions[Excludes1]: “tuberculous pleural conditions (current disease) (A15.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J98.11 — Atelectasis[Excludes1]: “tuberculous atelectasis (current disease) (A15)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes
- A31 — Infection due to other mycobacteria[Excludes2]: “tuberculosis (A15-A19)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code Also instructions
- D61.82 — Myelophthisis[Code Also]: “tuberculosis (A15.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes
- A15.0 — Tuberculosis of lung[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A15.4 — Tuberculosis of intrathoracic lymph nodes[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A15.5 — Tuberculosis of larynx, trachea and bronchus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A15.6 — Tuberculous pleurisy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A15.7 — Primary respiratory tuberculosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A15.8 — Other respiratory tuberculosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- A15.9 — Respiratory tuberculosis unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can A15 be billed directly?
No. A15 (Respiratory tuberculosis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "A15 — Respiratory tuberculosis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/a15-respiratory-tuberculosis
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionRespiratory tuberculosis
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to A15 in its code family, with their registry titles.