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v1.0.0
ICD-10 Guide
DiagnosesTuberculosis

Tuberculosis

ICD-10 Coding for Tuberculosis(A15.0, Z11.1, Z22.7)

PRIMARY SPECIALTYPrimary Care
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Tuberculosis?
Essential facts and insights about Tuberculosis

Key Clinical Considerations:

  • Persistent cough lasting more than three weeks
  • Hemoptysis (coughing up blood)
  • Night sweats and fever
  • Weight loss and fatigue
  • Chest pain

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including exposure to TB
  • Results of tuberculin skin test or IGRA
  • Chest X-ray findings
  • Microbiological confirmation (sputum culture or PCR)
  • Treatment history and response

Coding Guidelines

Usage Guidelines & Examples

  • Follow usage guidelines for TB coding to avoid miscoding.
  • Common errors include using unspecified codes when more specific codes are available.

Code Exclusions

Important Exclusions

  • Latent tuberculosis infection (LTBI) codes
  • Other respiratory infections

Related ICD-10 Codes

Primary Codes
A15.0
Tuberculosis of the lung, confirmed by culture
A16.0
Tuberculosis of the lung, not confirmed by culture
A19.9
Miliary tuberculosis, unspecified
Ancillary Codes
R76.11
Differential Codes
R91.8
R91.8
for abnormal findings on imaging not confirmed as TB.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Primary Care

Specialty Applications

  • Patients with suspected or confirmed TB
  • Primary care settings, urgent care, and specialty clinics

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document patient history, test results, and treatment plans.

What are the billing considerations?

Ensure accurate coding based on confirmed diagnosis and treatment.