ICD-10-CM Billable Code

Z86.11

Personal history of tuberculosis

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code Z86.11 refers to a personal history of tuberculosis (TB). This classification indicates that an individual has previously been diagnosed with and treated for tuberculosis in the past. While the infection might be resolved, a history of TB can have implications for future health monitoring and risk assessment. It is important for healthcare providers to be aware of this history to ensure appropriate follow-up and management.

Causes & Symptoms

Clinical Causes: Previous active tuberculosis infection, which was successfully treated Latent tuberculosis infection that was detected and managed History of close contact with someone with active TB Travel to or residence in countries with high TB prevalence Immunocompromised states increasing susceptibility to TB infection or reactivation

Key Symptoms: Persistent cough, possibly with blood-tinged sputum Chest pain or discomfort Unintentional weight loss Night sweats and fever Fatigue and weakness Loss of appetite

Diagnostic & Treatment

Diagnosis Path: Tuberculin skin test (TST) or interferon-gamma release assays (IGRAs) to detect TB infection Chest X-ray imaging to identify any signs of prior or active lung disease Bacteriological testing of sputum samples if active TB is suspected Review of previous treatment documentation and medical history

Treatment Protocols: Monitoring for signs of reactivation, especially in immunocompromised individuals Providing prophylactic treatments if risk factors for reactivation are present Addressing any residual lung damage or complications from previous TB Regular follow-up appointments for health assessment Patient education about symptoms of active TB and when to seek medical attention

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is Z86.11 a billable ICD-10 code?
Yes, Z86.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report Z86.11?
Clinical documentation must specify the nature of Personal history of tuberculosis and any associated comorbidities for accurate reporting.

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