2027 ICD-10-CM Diagnosis Code Z11.7Encounter for testing for latent tuberculosis infection
Z11.7 is a billable ICD-10-CM diagnosis code for encounter for testing for latent tuberculosis infection. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Exposure, encounters, screening or contact with infectious disease.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z11.7.
Present on Admission (POA)Billing
Z11.7 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons encountering health services for examinations (Z00-Z13).
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z11.7: its own notes plus those printed at Z11, block Z00-Z13, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- encounter for diagnostic examination-code to sign or symptom
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Z11.7, its category, or a range that includes it.
Excludes2 2
These codes carry an Excludes2 note naming Z11.7: its condition is not part of those codes, and both may be reported when the patient has both.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Tuberculosis
Tuberculosis (TB) is a bacterial disease that usually attacks the lungs. But it can also attack other parts of the body, including the kidneys, spine, and brain.
The full article covers:
- What is tuberculosis (TB)?
- What causes tuberculosis (TB)?
- Who is more likely to get infected with tuberculosis (TB) germs?
- Who is more likely to develop TB disease?
- What are the symptoms of tuberculosis (TB)?
- How is tuberculosis (TB) diagnosed?
- What is the treatment for tuberculosis (TB)?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code History & ChangesHistory
Replacement Z11.7 replaces the following previously assigned code(s):
- Z11.1 - Encounter for screening for respiratory tuberculosis
Questions About Z11.7Overview
What is the ICD-10 code for encounter for testing for latent tuberculosis infection?
The ICD-10-CM code for encounter for testing for latent tuberculosis infection is Z11.7 (sometimes written as Z117). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z11.7 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report encounter for testing for latent tuberculosis infection on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z11.7 group to?
On inpatient claims, encounter for testing for latent tuberculosis infection maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
Can Z11.7 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for testing for latent tuberculosis infection describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z11.7 exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for encounter for testing for latent tuberculosis infection on inpatient claims. The code appears in the Persons encountering health services for examinations (Z00-Z13) range of the CMS exempt list.