ICD-10 Coding for Tuberculosis Screening(Z11.1, Z11.7)
Complete ICD-10-CM coding and documentation guide for Tuberculosis Screening. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tuberculosis Screening
Z11-Z13Primary Range
Encounter for screening for infectious and parasitic diseases
This range includes codes for screening for various infectious diseases, including 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 |
|---|---|---|---|
| Z11.1 | Encounter for screening for respiratory tuberculosis | Use when screening for active TB in symptomatic patients or those with known exposure. |
|
| Z11.7 | Encounter for testing for latent tuberculosis infection | Use for asymptomatic patients undergoing routine latent TB testing. |
|
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 tuberculosis screening
Essential facts and insights about Tuberculosis Screening
Primary ICD-10-CM Codes for tuberculosis screen
Decision Criteria
clinical Criteria
- Patient presents with symptoms or known exposure.
documentation Criteria
- Documented reason for active TB screening.
Applicable To
- Screening for active tuberculosis
Excludes
- Screening for latent tuberculosis infection (Z11.7)
Clinical Validation Requirements
- Symptomatic patients with cough, hemoptysis
- Asymptomatic patients with known exposure
Code-Specific Risks
- Incorrectly using for latent TB screening
Coding Notes
- Ensure documentation specifies active TB screening intent.
Z11.7 - Encounter for testing for latent tuberculosis infection
Use for asymptomatic patients undergoing routine latent TB testing.
Applicable To
- Testing for latent tuberculosis infection
Excludes
- Screening for active tuberculosis (Z11.1)
Clinical Validation Requirements
- Asymptomatic patients undergoing routine testing
- Positive TB skin test (TST) or IGRA without active disease
Coding Notes
Ensure documentation specifies latent TB testing intent.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tuberculosis Screening to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z11.1.
Impact
Clinical: May lead to inappropriate follow-up actions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to unclear coding.
Mitigation Strategy
Specify the purpose of the test, Document any symptoms or risk factors
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on TB screening types.
Mitigation Strategy
Use Z11.7 for latent TB testing.
Impact
Using Z11.1 for latent TB testing can trigger audits.
Mitigation Strategy
Ensure documentation clearly differentiates between active and latent TB testing.
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 Tuberculosis Screening, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tuberculosis Screening
Use these documentation templates to ensure complete and accurate documentation for Tuberculosis Screening. These templates include all required elements for proper coding and billing.
Routine Latent TB Testing
Specialty: Primary CareRequired Elements
- Reason for testing
- Test type (TST/IGRA)
- Absence of symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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