ICD-10 Coding for Close Contact with Tuberculosis Positive(Z20.1)
Complete ICD-10-CM coding and documentation guide for Close Contact with Tuberculosis Positive. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Close Contact with Tuberculosis Positive
Z20-Z29Primary Range
Persons with potential health hazards related to communicable diseases
This range includes codes for contact with and exposure to communicable diseases, including tuberculosis.
Key Information: ICD-10 code for TB exposure
Essential facts and insights about Close Contact with Tuberculosis Positive
Primary ICD-10-CM Code for close contact with tuberculosis positive
Decision Criteria
clinical Criteria
- Confirmed exposure to an active TB case
documentation Criteria
- Detailed exposure history and index case status
Applicable To
- Close contact with active TB case
Excludes
- Screening for tuberculosis (Z11.1)
Clinical Validation Requirements
- Documented exposure to a confirmed active TB case
- Details of the index case's infectious status
- Duration and nature of exposure
Code-Specific Risks
- Incorrectly using for general screening without known exposure
Coding Notes
- Ensure documentation specifies the relationship to the index case and the infectious status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Close Contact with Tuberculosis Positive to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z20.1.
Impact
Clinical: May lead to inappropriate follow-up actions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to incomplete documentation.
Mitigation Strategy
Always verify and document the index case's infectious status.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on TB exposure cases.
Mitigation Strategy
Use Z11.1 for screening without known exposure.
Impact
Using Z20.1 for routine screening can trigger audits.
Mitigation Strategy
Ensure Z20.1 is only used for documented exposure cases.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Close Contact with Tuberculosis Positive, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Close Contact with Tuberculosis Positive
Use these documentation templates to ensure complete and accurate documentation for Close Contact with Tuberculosis Positive. These templates include all required elements for proper coding and billing.
Evaluation of a child exposed to a TB-positive family member
Specialty: PediatricsRequired Elements
- Exposure dates
- Relationship to index case
- Test results
- Symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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