ICD-10 Coding for Tuberculosis Test(Z11.1, Z11.7)
Complete ICD-10-CM coding and documentation guide for Tuberculosis Test. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tuberculosis Test
Z11-Z22Primary Range
Persons with potential health hazards related to communicable diseases
This range includes codes for screening and testing for tuberculosis and latent tuberculosis infection (LTBI).
Abnormal immunological findings in serum
This range includes codes for positive test results for tuberculosis screening tests.
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 for asymptomatic patients undergoing routine TB screening. |
|
| Z11.7 | Encounter for testing for latent tuberculosis infection | Use for patients with a history of positive TST undergoing further 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 test
Essential facts and insights about Tuberculosis Test
Primary ICD-10-CM Codes for tuberculosis test
Decision Criteria
clinical Criteria
- Patient is asymptomatic and undergoing routine screening.
Applicable To
- Pre-employment screenings
- Immigration physicals
Excludes
- Active tuberculosis (A15-A19)
Clinical Validation Requirements
- Patient presents for routine screening without symptoms.
- Documentation of screening purpose, e.g., employment or immigration.
Code-Specific Risks
- Incorrectly using for symptomatic patients.
Coding Notes
- Ensure documentation specifies the screening nature of the encounter.
Z11.7 - Encounter for testing for latent tuberculosis infection
Use for patients with a history of positive TST undergoing further testing.
Applicable To
- Follow-up of positive TST
Excludes
- Active tuberculosis (A15-A19)
Clinical Validation Requirements
- Patient has a history of positive TST and requires further evaluation.
- Documentation of testing purpose, e.g., follow-up or serial testing.
Coding Notes
Ensure documentation specifies the follow-up nature of the encounter.
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 Test to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z11.1.
Impact
Clinical: Inability to determine test positivity., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Train staff on proper documentation of TST results., Use templates that prompt for induration size.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use A15 codes for symptomatic patients with suspected active TB.
Impact
Using screening codes for symptomatic patients.
Mitigation Strategy
Regular training on code selection criteria.
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 Test, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tuberculosis Test
Use these documentation templates to ensure complete and accurate documentation for Tuberculosis Test. These templates include all required elements for proper coding and billing.
Routine TB Screening
Specialty: Primary CareRequired Elements
- Patient demographics
- Reason for screening
- TST placement details
- Follow-up plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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