ICD-10 Coding for History of Tuberculosis(Z86.11, Z86.15)
Complete ICD-10-CM coding and documentation guide for History of Tuberculosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Tuberculosis
Z86.11-Z86.15Primary Range
Personal history of infectious and parasitic diseases
This range includes codes for documenting a patient's history of tuberculosis, both active and latent.
Carrier of infectious disease
This code is used for patients who are carriers of latent tuberculosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.11 | Personal history of tuberculosis | Use when the patient has a documented history of treated active tuberculosis. |
|
| Z86.15 | Personal history of latent tuberculosis infection | Use when the patient has a documented history of latent TB infection. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for history of tuberculosis
Essential facts and insights about History of Tuberculosis
Primary ICD-10-CM Codes for history of tuberculosis
Decision Criteria
clinical Criteria
- Completed treatment for active TB with radiographic evidence
Applicable To
- History of active tuberculosis
Excludes
- Latent tuberculosis (Z86.15)
Clinical Validation Requirements
- Documented completion of treatment for active TB
- Radiographic evidence of sequelae (e.g., fibrosis)
Code-Specific Risks
- Incorrectly using for latent TB history
Coding Notes
- Ensure documentation clearly states the completion of active TB treatment.
Z86.15 - Personal history of latent tuberculosis infection
Use when the patient has a documented history of latent TB infection.
Applicable To
- History of latent TB infection
Excludes
- Active tuberculosis (Z86.11)
Clinical Validation Requirements
- Positive IGRA or TST with no active disease
Coding Notes
Documentation should specify the absence of active TB symptoms.
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 History of Tuberculosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.11.
Impact
Clinical: Misinterpretation of patient history., Regulatory: Potential coding audits., Financial: Claim denials due to incorrect coding.
Mitigation Strategy
Use detailed templates for TB history documentation.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient history records.
Mitigation Strategy
Ensure documentation specifies active TB treatment history for Z86.11.
Impact
Incorrect coding of TB history can lead to audits.
Mitigation Strategy
Ensure detailed documentation of TB treatment and outcomes.
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 History of Tuberculosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Tuberculosis
Use these documentation templates to ensure complete and accurate documentation for History of Tuberculosis. These templates include all required elements for proper coding and billing.
Primary Care Visit for TB History
Specialty: Primary CareRequired Elements
- TB history
- Treatment details
- Current symptoms
- Radiographic findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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