New ICD-10-CM Codes: Z11.7: “Encounter for testing for latent tuberculosis infection”. Z86.15: “Personal history of latent tuberculosis infection”. Z22.7: “Carrier of latent tuberculosis,” which includes a previous positive test for TB infection without evidence of disease, but excludes:
Testing for Tuberculosis (TB)
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
Testing for Tuberculosis (TB)
To bill for placing the purified protein derivative (PPD) skin test for tuberculosis, use CPT®code 86580. Use this code when the nurse or medical assistant places the test on the patient's skin. The CPT®definition of the code is: Skin test, tuberculosis, intradermal.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z11. 1, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first. That is the MDC that the patient will be grouped into.
CPT code 86480 is defined by CPT as "Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response." The test is a blood test, not a skin test.
ICD-10-CM Code for Personal history of tuberculosis Z86. 11.
Z12. 11: Encounter for screening for malignant neoplasm of the colon.
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
F53. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM F53.
CPT code 86580 is reported for the Mantoux test using the intradermal administration of purified protein derivative (PPD).
Medicare does pay for CPT code 86580 when the patient has had exposure to TB or has had a reaction to a recent TB screening test.
9: Fever, unspecified.
ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.
The PPD skin test is a method used to diagnose silent (latent) tuberculosis (TB) infection. PPD stands for purified protein derivative.
R76.11 is a valid billable ICD-10 diagnosis code for Nonspecific reaction to tuberculin skin test without active tuberculosis . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically.