ICD-10 Coding for Latent Tuberculosis Infection(Z22.7, Z11.7, Z86.15)
Complete ICD-10-CM coding and documentation guide for Latent Tuberculosis Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Latent Tuberculosis Infection
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z22.7 | Latent tuberculosis | Use when LTBI is confirmed and is the focus of care. |
|
| Z11.7 | Encounter for testing for latent tuberculosis | Use when the encounter is specifically for testing LTBI. |
|
| Z86.15 | Personal history of latent tuberculosis infection | Use for documenting history of LTBI after treatment completion. |
|
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 latent tuberculosis infection
Essential facts and insights about Latent Tuberculosis Infection
Primary ICD-10-CM Codes for latent tuberculosis infection
Decision Criteria
clinical Criteria
- Positive IGRA or TST with normal CXR and no symptoms
coding Criteria
- LTBI confirmed and documented
Applicable To
- Confirmed latent tuberculosis infection
Excludes
- Active tuberculosis (A15-A19)
Clinical Validation Requirements
- Positive IGRA or TST
- Normal chest X-ray
- Absence of symptoms of active TB
Code-Specific Risks
- Using without documented confirmation of LTBI
Coding Notes
- Ensure documentation includes test results and absence of active TB symptoms.
Z11.7 - Encounter for testing for latent tuberculosis
Use when the encounter is specifically for testing LTBI.
Applicable To
- Screening for latent tuberculosis
Excludes
- Active tuberculosis testing (Z11.1)
Clinical Validation Requirements
- Order of IGRA or TST without prior suspicion of active TB
Coding Notes
Ensure the encounter is documented as specifically for LTBI testing.
Z86.15 - Personal history of latent tuberculosis infection
Use for documenting history of LTBI after treatment completion.
Applicable To
- History of treated latent tuberculosis
Excludes
- Current latent tuberculosis (Z22.7)
Clinical Validation Requirements
- Documentation of completed LTBI treatment
- Current negative status
Coding Notes
Ensure documentation reflects completed treatment and current negative status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for testing for latent tuberculosis
Z11.7Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Nonspecific reaction to tuberculin skin test without active tuberculosis
R76.11Nonspecific reaction to gamma interferon test without active tuberculosis
R76.12Encounter for screening for respiratory tuberculosis
Z11.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Latent Tuberculosis Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z22.7.
Impact
Clinical: Potential misdiagnosis of active TB., Regulatory: Non-compliance with coding standards., Financial: Claim denials due to insufficient documentation.
Mitigation Strategy
Ensure all diagnostic tests are documented, Review documentation before claim submission
Impact
Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation of patient condition.
Mitigation Strategy
Use Z22.7 as primary when LTBI is confirmed, with Z11.7 as secondary if testing was part of the encounter.
Impact
Reimbursement: Potential for claim rejection due to incorrect code usage., Compliance: Violation of coding standards., Data Quality: Misrepresentation of patient treatment status.
Mitigation Strategy
Use Z86.15 only after LTBI treatment is completed.
Impact
Incomplete documentation of diagnostic criteria for LTBI.
Mitigation Strategy
Implement thorough documentation protocols for all LTBI cases.
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 Latent Tuberculosis Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Latent Tuberculosis Infection
Use these documentation templates to ensure complete and accurate documentation for Latent Tuberculosis Infection. These templates include all required elements for proper coding and billing.
Primary Care Evaluation for LTBI
Specialty: Primary CareRequired Elements
- Positive IGRA or TST result
- Normal chest X-ray
- Absence of TB symptoms
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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