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B90.9 ICD-10-CM Code: Sequelae of respiratory and unspecified tuberculosis

B90.9 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupB90.9

FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Sequelae of infectious and parasitic diseases (B90-B94)

B90.9

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

Sequelae of respiratory and unspecified tuberculosis

Long-term complications from tuberculosis that previously affected the lungs or other unspecified sites, with residual effects persisting after the infection has resolved.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official
  • Sequelae of tuberculosis NOS

Excludes 2

Official
  • carrier or suspected carrier of infectious disease (Z22.-)Inherited from A00-B99
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)Inherited from A00-B99
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)Inherited from A00-B99
  • influenza and other acute respiratory infections (J00-J22)Inherited from A00-B99

Includes

Official
  • diseases generally recognized as communicable or transmissibleInherited from A00-B99

Excludes 1

Official
  • certain localized infections - see body system-related chaptersInherited from A00-B99

Code First

Official
  • condition resulting from (sequela) the infectious or parasitic diseaseInherited from B90-B94

Use Additional

Official
  • code to identify resistance to antimicrobial drugs (Z16.-)Inherited from A00-B99

Code Also

Official

No Code Also instructions are included in this display for B90.9. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
This is the most commonly used sequelae code for TB; document the specific respiratory complications such as bronchiectasis, fibrosis, or emphysema
Ensure the active TB infection is not present; if the patient has active TB, use codes from A15-A19 instead

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 B90.9 an HCC code?

No. B90.9 is a billable ICD-10-CM code with no mapping under the current CMS-HCC V28 community payment model, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
B90.9
Description
Sequelae of respiratory and unspecified tuberculosis
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

Coder workflow notes

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What This Code Means

B90.9 is the ICD-10-CM diagnosis code for sequelae of respiratory and unspecified tuberculosis. Long-term complications from tuberculosis that previously affected the lungs or other unspecified sites, with residual effects persisting after the infection has resolved. B90.9 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering sequelae of infectious and parasitic diseases (b90-b94).

B90.9 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

This is the most commonly used sequelae code for TB; document the specific respiratory complications such as bronchiectasis, fibrosis, or emphysema.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for B90.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is the most commonly used sequelae code for TB; document the specific respiratory complications such as bronchiectasis, fibrosis, or emphysema
  • Ensure the active TB infection is not present; if the patient has active TB, use codes from A15-A19 instead

Child Codes

Code Hierarchy

B90Sequelae of tuberculosisB90.9Sequelae of respiratory and unspecified tuberculosis
B90.9Sequelae of respiratory and unspecified tuberculosis

Also searched as

  • B90 9
  • B909

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