A15.9 ICD-10-CM Code: Respiratory tuberculosis unspecified
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Tuberculosis (A15-A19)
A15.9
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceRespiratory tuberculosis unspecified
This code describes tuberculosis that affects the lungs or respiratory system, but the specific type or location within the respiratory tract has not been clearly documented. It is used when a patient has confirmed TB of the lungs without more detailed information about which part is affected.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for A15.9 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for A15.9 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for A15.9 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for A15.9 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for A15.9 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for A15.9 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for A15.9 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is A15.9 an HCC code?
No. A15.9 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A15.9 is the ICD-10-CM diagnosis code for respiratory tuberculosis unspecified. This code describes tuberculosis that affects the lungs or respiratory system, but the specific type or location within the respiratory tract has not been clearly documented. It is used when a patient has confirmed TB of the lungs without more detailed information about which part is affected. A15.9 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering tuberculosis (a15-a19).
A15.9 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code only when the documentation confirms respiratory TB but lacks specificity; if more detail is available (such as TB of the lung, bronchus, or trachea), use a more specific code from the A15 category.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A15.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the documentation confirms respiratory TB but lacks specificity; if more detail is available (such as TB of the lung, bronchus, or trachea), use a more specific code from the A15 category
- •Ensure the patient has confirmed tuberculosis diagnosis and that the infection site is documented as respiratory; this code requires confirmation of TB status and should not be used for suspected or ruled-out cases