2027 ICD-10-CM Diagnosis Code A21Tularemia

ICD-10-CM Codes›A00–B99›A20-A28›A21

ICD-10-CM A21
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

A21 is a non-billable ICD-10-CM category code for tularemia, so it cannot be submitted on claims. Use a more specific code from this category instead, such as A21.0, A21.1, A21.2, and A21.3.

Code Identity

ICD-10-CM Code
A21
Billable Status
No — Non-Billable Category
Code Describes
Tularemia
Short Description
Tularemia
Same as the full description in the CMS dataset.
Chapter
A20-A28
Certain zoonotic bacterial diseases

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA20-A28Certain zoonotic bacterial diseases
CategoryA21Tularemia
This CodeA21Tularemia

Specific Coding for TularemiaOverview

Non-specific codes like A21 require more characters. Use one of these billable codes instead:

  • Use A21.0 for Ulceroglandular tularemia

  • Use A21.1 for Oculoglandular tularemia

  • Use A21.2 for Pulmonary tularemia

  • Use A21.3 for Gastrointestinal tularemia

  • Use A21.7 for Generalized tularemia

  • Use A21.8 for Other forms of tularemia

  • Use A21.9 for Tularemia, unspecified

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to A21: its own notes plus those printed at Chapter 1. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

On A21 itself
  • deer-fly fever
  • infection due to Francisella tularensis
  • rabbit fever
From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • diseases generally recognized as communicable or transmissible

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • 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)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 1 (A00-B99) Certain infectious and parasitic diseases applies to 1,068 codes
  • code to identify resistance to antimicrobial drugs (Z16.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Clinical InformationClinical

  • Tularemia

    a plague-like disease of rodents, transmissible to man. it is caused by francisella tularensis and is characterized by fever, chills, headache, backache, and weakness.

Patient EducationClinical

Bacterial Infections

Bacteria are tiny organisms (living things) that have only one cell. Under a microscope, they look like balls, rods, or spirals. They can be found almost everywhere on Earth. There are lots of bacteria in and on your body. In fact, your body has about 10 times more bacteria cells than human cells.

The full article covers:

  • What are bacteria?
  • How do bacterial infections spread?
  • What are the treatments for bacterial infections?
  • Can bacterial infections be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About A21Overview

What is the ICD-10 code for tularemia?

A21 is the ICD-10-CM category for tularemia, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is A21 (Tularemia) a billable code?

No. This is a category header that groups the codes for tularemia, and headers cannot be submitted on claims. Claims for tularemia need a more specific code from this category, such as A21.0, A21.1, and A21.2.