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A19.9 ICD-10-CM Code: Miliary tuberculosis, unspecified

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Tuberculosis (A15-A19)

A19.9

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Miliary tuberculosis, unspecified

Miliary tuberculosis is a severe form of tuberculosis where the infection spreads throughout the body via the bloodstream, creating tiny lesions that resemble millet seeds (hence the name). The 'unspecified' designation means the exact site or organs affected have not been documented.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
A19Miliary tuberculosis
A19.9Miliary tuberculosis, unspecified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A19.9 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A19.9 in this effective period.

Related Child Codes

Official
A19.0Acute miliary tuberculosis of a single specified site
A19.1Acute miliary tuberculosis of multiple sites
A19.2Acute miliary tuberculosis, unspecified
A19.8Other miliary tuberculosis

Includes

Official
  • disseminated tuberculosis
  • generalized tuberculosis
  • tuberculous polyserositis

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A19.9 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A19.9 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A19.9 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A19.9 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Miliary TB is a serious disseminated form of tuberculosis; verify documentation specifies miliary pattern before coding this diagnosis, as it carries different clinical implications than localized TB
If the site of miliary TB is documented (such as meningitis, hepatic, or pulmonary involvement), use more specific codes (A19.0-A19.8) rather than the unspecified code A19.9

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 A19.9 an HCC code?

No. A19.9 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A19.9 is the ICD-10-CM diagnosis code for miliary tuberculosis, unspecified. Miliary tuberculosis is a severe form of tuberculosis where the infection spreads throughout the body via the bloodstream, creating tiny lesions that resemble millet seeds (hence the name). The 'unspecified' designation means the exact site or organs affected have not been documented. A19.9 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering tuberculosis (a15-a19).

A19.9 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.

Miliary TB is a serious disseminated form of tuberculosis; verify documentation specifies miliary pattern before coding this diagnosis, as it carries different clinical implications than localized TB.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A19.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Miliary TB is a serious disseminated form of tuberculosis; verify documentation specifies miliary pattern before coding this diagnosis, as it carries different clinical implications than localized TB
  • If the site of miliary TB is documented (such as meningitis, hepatic, or pulmonary involvement), use more specific codes (A19.0-A19.8) rather than the unspecified code A19.9

Child Codes

Code Hierarchy

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