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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 1: Certain infectious and parasitic diseasesA15.0

A15.0

Billable

Tuberculosis of lung

Chapter 1:Certain infectious and parasitic diseases

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A15.0 is a billable code used to indicate a diagnosis of tuberculosis of lung.

Key Diagnostic Point:

Tuberculosis of the lung, classified under ICD-10 code A15.0, is a contagious bacterial infection caused by Mycobacterium tuberculosis. It primarily affects the lungs but can also spread to other parts of the body. The disease is characterized by symptoms such as persistent cough, chest pain, hemoptysis (coughing up blood), fever, night sweats, and weight loss. Diagnosis typically involves a combination of clinical evaluation, chest X-rays, and microbiological tests, including sputum smear microscopy and culture for Mycobacterium tuberculosis. The treatment regimen usually consists of a multi-drug therapy over a period of at least six months, which may include isoniazid, rifampicin, ethambutol, and pyrazinamide. Monitoring for drug resistance is crucial, as multi-drug resistant tuberculosis (MDR-TB) poses significant treatment challenges. Public health measures, including contact tracing and isolation of infectious patients, are essential to control the spread of tuberculosis. The disease remains a major global health concern, particularly in areas with high prevalence and limited healthcare resources.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for accurate diagnostic testing and interpretation
  • Potential for drug-resistant strains complicating treatment
  • Public health reporting requirements

Audit Risk Factors

  • Inadequate documentation of diagnostic tests
  • Failure to document treatment adherence and monitoring
  • Misclassification of tuberculosis type or severity
  • Lack of public health reporting compliance

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Patients presenting with chronic cough, hemoptysis, or abnormal chest X-ray findings.

Billing Considerations

Ensure accurate documentation of sputum test results and any drug resistance patterns.

Infectious Disease

Documentation Requirements

Comprehensive history of exposure, travel, and previous tuberculosis treatment.

Common Clinical Scenarios

Patients with a history of tuberculosis exposure or those presenting with atypical symptoms.

Billing Considerations

Document any public health interventions, such as contact tracing and isolation measures.

Coding Guidelines

Inclusion Criteria

Use A15.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and any complications
  • Include specific details about the type of tuberculosis and any associated conditions

Exclusion Criteria

Do NOT use A15.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

86580CPT Code

Tuberculin skin test

Clinical Scenario

Used for screening individuals at high risk for tuberculosis.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Pulmonologists and infectious disease specialists should ensure proper interpretation of results.

71046CPT Code

Chest X-ray, PA and lateral

Clinical Scenario

Ordered to evaluate suspected pulmonary tuberculosis.

Documentation Requirements

Include clinical indications and findings.

Specialty Considerations

Radiologists should provide detailed reports to assist in diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of tuberculosis cases, improving the accuracy of data collection and public health reporting. This specificity aids in tracking drug resistance patterns and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tuberculosis cases, improving the accuracy of data collection and public health reporting. This specificity aids in tracking drug resistance patterns and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of tuberculosis cases, improving the accuracy of data collection and public health reporting. This specificity aids in tracking drug resistance patterns and treatment outcomes.

Resources

Clinical References

  • •
    CDC Tuberculosis (TB) Fact Sheet

Coding & Billing References

  • •
    CDC Tuberculosis (TB) Fact Sheet

Frequently Asked Questions

What are the key symptoms of pulmonary tuberculosis?

Key symptoms include a persistent cough lasting more than three weeks, chest pain, hemoptysis, fever, night sweats, and unexplained weight loss.

How is tuberculosis diagnosed?

Diagnosis typically involves a combination of clinical evaluation, chest X-rays, and microbiological tests such as sputum smear and culture.

What is the standard treatment for tuberculosis?

The standard treatment involves a multi-drug regimen, typically including isoniazid, rifampicin, ethambutol, and pyrazinamide, administered over a minimum of six months.

What are the public health implications of tuberculosis?

Tuberculosis is a contagious disease, and public health measures such as contact tracing, isolation of infectious patients, and monitoring for drug resistance are critical to controlling its spread.