2026 ICD-10-CM Diagnosis Code Z86.11Personal history of tuberculosis
Z86.11 is a billable ICD-10-CM diagnosis code for personal history of tuberculosis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as H/O: tuberculosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z86.11.
Present on Admission (POA)Billing
Z86.11 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- H/O: tuberculosis
- History of active tuberculosis
- History of inactive tuberculosis
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- History
- personal (of) - See Also: History, family (of);
- disease or disorder (of) - Z87.898
- infectious - Z86.19
- tuberculosis - Z86.11
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- History
- personal (of)
- disease or disorder (of)
- infectious
- tuberculosis
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.
Convert Z86.11 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z86.11Overview
Is Z86.11 (Personal history of infectious and parasitic diseases) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report personal history of tuberculosis on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Can Z86.11 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of tuberculosis describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z86.11 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 personal history of tuberculosis on inpatient claims.
What is the ICD-9 equivalent of Z86.11?
Under the General Equivalence Mappings, personal history of tuberculosis converts to ICD-9-CM V12.01 (prsnl hst tuberculosis). The mapping is a direct match.
