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A21.0 ICD-10-CM Code: Ulceroglandular tularemia

A21.0 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Certain zoonotic bacterial diseases (A20-A28)

A21.0

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

Ulceroglandular tularemia

Ulceroglandular tularemia is a bacterial infection caused by Francisella tularensis that produces painful ulcers on the skin and swollen lymph nodes, typically acquired through contact with infected animals or contaminated water. It is the most common form of tularemia and can be treated with antibiotics if diagnosed early.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
A21Tularemia
A21.0Ulceroglandular tularemia

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A21.0 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A21.0 in this effective period.

Related Child Codes

Official
A21.1Oculoglandular tularemia
A21.2Pulmonary tularemia
A21.3Gastrointestinal tularemia
A21.7Generalized tularemia
A21.8Other forms of tularemia

Includes

Official
  • deer-fly fever
  • infection due to Francisella tularensis
  • rabbit fever

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A21.0 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A21.0 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A21.0 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A21.0 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify that the documentation specifically identifies ulceroglandular tularemia rather than other forms (typhoidal, pneumonic, oculoglandular, etc.), as each has a distinct ICD-10-CM code
Confirm the source of infection when documented (animal bite, tick exposure, contaminated water) as this may support medical necessity and clinical decision-making, though it is not required for code assignment

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is A21.0 an HCC code?

No. A21.0 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
A21.0
Description
Ulceroglandular tularemia
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

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

A21.0 is the ICD-10-CM diagnosis code for ulceroglandular tularemia. Ulceroglandular tularemia is a bacterial infection caused by Francisella tularensis that produces painful ulcers on the skin and swollen lymph nodes, typically acquired through contact with infected animals or contaminated water. It is the most common form of tularemia and can be treated with antibiotics if diagnosed early. A21.0 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering certain zoonotic bacterial diseases (a20-a28).

A21.0 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.

Verify that the documentation specifically identifies ulceroglandular tularemia rather than other forms (typhoidal, pneumonic, oculoglandular, etc.), as each has a distinct ICD-10-CM code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A21.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify that the documentation specifically identifies ulceroglandular tularemia rather than other forms (typhoidal, pneumonic, oculoglandular, etc.), as each has a distinct ICD-10-CM code
  • Confirm the source of infection when documented (animal bite, tick exposure, contaminated water) as this may support medical necessity and clinical decision-making, though it is not required for code assignment

Child Codes

Code Hierarchy

A21TularemiaA21.0Ulceroglandular tularemia
A21.0Ulceroglandular tularemia

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