A15.4 — Tuberculosis of intrathoracic lymph nodes
Is A15.4 billable?
Yes — A15.4 is billable for FY2027. A15.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. A15.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
A15.4 at a glance
| Code | A15.4 |
|---|---|
| Description | Tuberculosis of intrathoracic lymph nodes |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does A15.4 group to?
A15.4 sits in MDC 04 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 177Respiratory Infections and Inflammations with MCCmedical
- 178Respiratory Infections and Inflammations with CCmedical
- 179Respiratory Infections and Inflammations without CC/MCCmedical
As a secondary diagnosis, A15.4 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is A15.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to A15.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Tuberculosis, tubercular, tuberculous › hilar lymph nodes (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
- Tuberculosis, tubercular, tuberculous › mediastinal lymph gland or node (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
- Adenopathy › tracheobronchial › tuberculous (lymph gland)
- Adenopathy › tuberculous › tracheobronchial (lymph gland)
- Tuberculosis, tubercular, tuberculous › bronchi, bronchial, bronchus › gland or node (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
- Tuberculosis, tubercular, tuberculous › bronchi, bronchial, bronchus › lymph gland or node (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
- Tuberculosis, tubercular, tuberculous › lymph gland or node › bronchial (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
- Tuberculosis, tubercular, tuberculous › lymph gland or node › hilar (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
- Tuberculosis, tubercular, tuberculous › lymph gland or node › intrathoracic (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
- Tuberculosis, tubercular, tuberculous › lymph gland or node › mediastinal (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
- Tuberculosis, tubercular, tuberculous › lymph gland or node › tracheobronchial (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
- Tuberculosis, tubercular, tuberculous › trachea, tracheal › lymph gland or node (calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
Excludes1 — never code together
The conditions below can never be reported together with A15.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- tuberculosis specified as primary (A15.7)
Inclusion terms
Alternative wording in documentation that is classified to A15.4.
- Tuberculosis of hilar lymph nodes
- Tuberculosis of mediastinal lymph nodes
- Tuberculosis of tracheobronchial lymph nodes
Excludes1 — never code together — inherited from A15-A19
The conditions below can never be reported together with A15.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- congenital tuberculosis (P37.0)
- nonspecific reaction to test for tuberculosis without active tuberculosis (R76.1-)
- pneumoconiosis associated with tuberculosis, any type in A15 (J65)
- positive PPD (R76.11)
- positive tuberculin skin test without active tuberculosis (R76.11)
- sequelae of tuberculosis (B90.-)
- silicotuberculosis (J65)
Use additional code — inherited from Chapter 1
Report an additional code alongside A15.4 to fully describe the condition. A15.4 is sequenced first.
- code to identify resistance to antimicrobial drugs (Z16.-)
Use additional code — inherited from A15-A19
Report an additional code alongside A15.4 to fully describe the condition. A15.4 is sequenced first.
- code, if applicable, for associated cachexia (E88.A)
Excludes2 — not included here — inherited from Chapter 1
The conditions below are not part of A15.4, but a patient may have both at the same time. When documentation supports it, A15.4 and the excluded code may both be reported.
- carrier or suspected carrier of infectious disease (Z22.-)
- certain localized infections - see body system-related chapters
- infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
- infectious and parasitic diseases specific to the perinatal period (P35-P39)
- influenza and other acute respiratory infections (J00-J22)
How long has A15.4 existed?
A15.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with A15.4?
ICD-10-CM declares these codes mutually exclusive with A15.4 — exactly one of each pair can be correct for a given encounter.