What is the ICD-10 code for a positive TB test?

The ICD-10 code for a positive TB test without active tuberculosis is R76.11. Use Z11.1 for screening encounters.

How should a positive TB test be documented?

Document the induration size in mm, test type, and clinical context. Include the date and reader's name.

ICD-10 Coding for Positive Tuberculosis Test(R76.11, R76.1, Z02.89)

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Learn about ICD-10 coding for positive tuberculosis tests, including R76.11 and Z11.1. Understand documentation requirements and common coding pitfalls.

Also known as:

Positive TB TestPositive Tuberculin Skin TestPositive TST

Related ICD-10 Code Ranges

Complete code families applicable to Positive Tuberculosis Test

R00-R99Primary Range

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
R76.11	Abnormal reaction to tuberculin skin test without active tuberculosis	Use when a tuberculin skin test is positive, but there is no evidence of active TB.	Induration measurement in mm Test type (e.g. TST or IGRA) Clinical context and risk factors
Z11.1	Encounter for screening for respiratory tuberculosis	Use for preventive screening encounters.	Screening encounter documentation

Primary ICD-10-CM Codes

Nonspecific reaction to tuberculin skin test without active tuberculosis

R76.11Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Latent tuberculosisZ22.7

Documentation & Coding Risks

Avoid these common issues when documenting Positive Tuberculosis Test.

Failing to document induration size

Impact

Clinical: Inaccurate assessment of TB risk, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials

Mitigation

Ensure induration is measured and recorded, Use standardized templates

Using R76.11 for active TB cases

Impact

Reimbursement: Incorrect reimbursement rates, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate health data records

Mitigation

Use A15-A19 for confirmed active TB.

Documentation Accuracy

Impact

Inaccurate or incomplete documentation of TB test results.

Mitigation

Use standardized templates and ensure all required elements are documented.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with R76.11.

Primary Code

R76.11

Nonspecific reaction to tuberculin skin test without active tuberculosis

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ICD-10 codes5

Coding risks3

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ICD-10 Coding for Positive Tuberculosis Test(R76.11, R76.1, Z02.89)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for a positive TB test?

How should a positive TB test be documented?

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