Ulceroglandular tularemia

This code represents a systemic bacterial infection caused by Francisella tularensis, characterized by a localized skin ulcer at the site of inoculation and regional lymphadenopathy (swollen lymph nodes). The ulcer is typically painful and slow-healing, often accompanied by fever, chills, and malaise.

Use this code when documentation clearly indicates a diagnosis of tularemia presenting with both a skin ulcer and enlarged, tender regional lymph nodes. This diagnosis is typically confirmed by serology, culture, or PCR.

• Ensure documentation specifies both the ulcerative lesion and glandular involvement to support this specific subtype.
• Do not confuse with other forms of tularemia, such as glandular (A21.1) or oculoglandular (A21.2), which lack the skin ulcer.
• Code any associated symptoms, such as fever (R50.9), as secondary diagnoses.