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ICD-10 Coding for Positive Tuberculin Skin Test in Postpartum Patients(R76.11, O90.6)

Complete ICD-10-CM coding and documentation guide for Positive Tuberculin Skin Test in Postpartum Patients. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Positive PPDMantoux Test ReactivePostpartum Depression

Related ICD-10 Code Ranges

Complete code families applicable to Positive Tuberculin Skin Test in Postpartum Patients

R76-R79Primary Range

Abnormal findings on examination of blood, without diagnosis

Includes nonspecific reactions to tuberculin skin tests, relevant for postpartum screenings.

Complications of the puerperium, not elsewhere classified

Includes postpartum mood disturbances and mental disorders.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R76.11Nonspecific reaction to tuberculin skin test without active tuberculosisUse when a patient has a positive PPD test without active TB symptoms.
  • Induration size in mm
  • Absence of TB symptoms
  • Chest X-ray results if performed
O90.6Postpartum mood disturbanceUse for mild mood disturbances postpartum.
  • Mood lability
  • Self-limited symptoms

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 positive PPD test

Essential facts and insights about Positive Tuberculin Skin Test in Postpartum Patients

The ICD-10 code for a positive PPD test without active tuberculosis is R76.11.

Primary ICD-10-CM Codes for positive postpartum day

Nonspecific reaction to tuberculin skin test without active tuberculosis
Billable Code

Decision Criteria

clinical Criteria

  • Positive PPD test without active TB symptoms

Applicable To

  • Positive PPD
  • Mantoux test abnormal result

Excludes

Clinical Validation Requirements

  • Induration size in mm
  • Absence of TB symptoms
  • Chest X-ray results if performed

Code-Specific Risks

  • Incorrectly coding active TB
  • Missing documentation of induration size

Coding Notes

  • Ensure documentation excludes active TB symptoms.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Screening for respiratory tuberculosis

Z11.1
Use for screening purposes during postpartum care.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Tuberculosis of lung, confirmed by sputum microscopy with or without culture

A15.0
Use when active TB is confirmed by sputum test.

Major depressive disorder, unspecified

F32.9
Use when symptoms are severe and persistent.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Positive Tuberculin Skin Test in Postpartum Patients to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R76.11.

Impact

Clinical: Inaccurate clinical assessment, Regulatory: Non-compliance with coding standards, Financial: Potential claim denial

Mitigation Strategy

Train staff on documentation standards, Use templates for consistency

Impact

Reimbursement: Incorrect DRG assignment, Compliance: Potential audit risk, Data Quality: Misleading clinical data

Mitigation Strategy

Verify context and symptoms before coding.

Impact

Inadequate documentation of PPD results.

Mitigation Strategy

Ensure complete documentation of test results and clinical findings.

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 Positive Tuberculin Skin Test in Postpartum Patients, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Positive Tuberculin Skin Test in Postpartum Patients

Use these documentation templates to ensure complete and accurate documentation for Positive Tuberculin Skin Test in Postpartum Patients. These templates include all required elements for proper coding and billing.

Postpartum Visit with Positive PPD

Specialty: Obstetrics

Required Elements

  • Induration size
  • Absence of TB symptoms
  • Chest X-ray results

Example Documentation

Patient presents for 6-week postpartum visit. PPD shows 12mm induration, CXR negative for active TB.

Examples: Poor vs. Good Documentation

Poor Documentation Example
PPD positive.
Good Documentation Example
PPD positive with 12mm induration, CXR negative.
Explanation
Good example includes necessary clinical details.

Need help with ICD-10 coding for Positive Tuberculin Skin Test in Postpartum Patients? Ask your questions below.

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