2025 ICD-10-CM code Z11.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons encountering health services for examinations Chapter 21: Factors influencing health status and contact with health services Feed
Encounter for screening for respiratory tuberculosis.This code is used for screening check-ups, regardless of positive or negative results.
Not applicable to ICD-10 codes. Modifiers apply to procedural codes.
Medical necessity for tuberculosis screening varies depending on the patient's risk factors, such as close contact with infected individuals, immigration status, healthcare worker status, or immunosuppression.Guidance from public health authorities and CDC guidelines should be referenced.
The clinical responsibility includes conducting the tuberculosis screening test (e.g., Mantoux test), interpreting results, and providing patient education and counseling as needed based on the results.Physician or other qualified healthcare professional.
- Chapter 21: Factors influencing health status and contact with health services
- Z11 (Encounter for screening for infectious and parasitic diseases)
In simple words: This code is used when someone goes to the doctor for a tuberculosis screening test.The code is used whether the test result is positive or negative.
ICD-10-CM code Z11.1, "Encounter for screening for respiratory tuberculosis," classifies encounters where an individual undergoes screening for respiratory tuberculosis.This code applies whether the screening test result is positive or negative and is used to represent the reason for the encounter. It is not a diagnostic code itself and should be accompanied by a procedure code if applicable.It is unacceptable as a principal diagnosis.
Example 1: A patient presents for an annual physical examination, which includes a Mantoux test for tuberculosis screening.The test result is negative., A healthcare worker is required to undergo tuberculosis screening as part of their employment.The test result is positive, necessitating further diagnostic testing and treatment., An immigrant seeking residency undergoes a mandatory tuberculosis screening as part of the immigration process. The result is negative.
* Patient demographics* Date of service* Type of tuberculosis screening test performed (e.g., Mantoux test)* Test result (positive or negative)* Interpretation of results* Any additional testing or treatment provided based on the result.* Physician's documentation.
** This code is for screening only; it does not indicate the presence or absence of disease.Further investigation is needed if the screening result is positive.
- Revenue Code: Revenue codes will vary depending on the payer and the services provided. Consult payer-specific guidelines.
- RVU: Not applicable to ICD-10 codes. RVUs are associated with procedural codes (CPT, HCPCS).
- Global Days : Not applicable to ICD-10 codes. Global days are relevant for procedural codes involving surgical packages.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.TC modifiers are for procedural codes.
- Fee Schedule : Not applicable to ICD-10 codes. Fee schedules pertain to procedural codes.
- Specialties:Pulmonology, Infectious Disease, Family Medicine, Internal Medicine, Public Health
- Place of Service:Office, Outpatient Hospital, Public Health Clinic, other appropriate settings