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A21.8 ICD-10-CM Code: Other forms of tularemia

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

A21.8

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

Other forms of tularemia

This code represents less common types of tularemia, a serious infectious disease caused by the bacterium Francisella tularensis that is typically transmitted through contact with infected animals or insect bites. It is used when the specific form of tularemia does not fit into the more common categories like pneumonic, ulceroglandular, or typhoidal tularemia.

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
A21Tularemia
A21.8Other forms of tularemia

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A21.8 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A21.8 in this effective period.

Related Child Codes

Official
A21.0Ulceroglandular tularemia
A21.1Oculoglandular tularemia
A21.2Pulmonary tularemia
A21.3Gastrointestinal tularemia
A21.7Generalized 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 A21.8 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A21.8 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A21.8 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A21.8 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the documentation specifies a form of tularemia that is not pneumonic (A21.0), ulceroglandular (A21.1), glandular (A21.2), oculoglandular (A21.3), or typhoidal (A21.7)
Always verify the clinical documentation clearly identifies tularemia as the diagnosis and ensure the specific form cannot be classified into a more specific subcategory before assigning A21.8

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 A21.8 an HCC code?

No. A21.8 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

A21.8 is the ICD-10-CM diagnosis code for other forms of tularemia. This code represents less common types of tularemia, a serious infectious disease caused by the bacterium Francisella tularensis that is typically transmitted through contact with infected animals or insect bites. It is used when the specific form of tularemia does not fit into the more common categories like pneumonic, ulceroglandular, or typhoidal tularemia. A21.8 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).

A21.8 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 specifies a form of tularemia that is not pneumonic (A21.0), ulceroglandular (A21.1), glandular (A21.2), oculoglandular (A21.3), or typhoidal (A21.7).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A21.8 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 specifies a form of tularemia that is not pneumonic (A21.0), ulceroglandular (A21.1), glandular (A21.2), oculoglandular (A21.3), or typhoidal (A21.7)
  • Always verify the clinical documentation clearly identifies tularemia as the diagnosis and ensure the specific form cannot be classified into a more specific subcategory before assigning A21.8

Child Codes

Code Hierarchy

A21TularemiaA21.8Other forms of tularemia
A21.8Other forms of tularemia

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