ICD-10-CM Diagnosis Code R76.11 - Nonspecific reaction to tuberculin skin test without active tuberculosis (original) (raw)

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  6. 2026 ICD-10-CM Code R76.11

Nonspecific reaction to tuberculin skin test without active tuberculosis

ICD-10-CM Code:

R76.11

ICD-10 Code for:

Nonspecific reaction to skin test w/o active tuberculosis

Is Billable?

Yes - Valid for Submission

Chronic Condition Indicator: [1]

Not chronic

Code Navigator:

R76.11 is a billable diagnosis code used to specify a medical diagnosis of nonspecific reaction to tuberculin skin test without active tuberculosis. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

  1. Code Information
  2. Approximate Synonyms
  3. Clinical Classification
  4. Tabular List of Diseases and Injuries
  5. Index to Diseases and Injuries References
  7. Diagnostic Related Groups Mapping
  8. Convert to ICD-9 Code
  9. Patient Education
  10. Other Codes Used Similar Conditions
  11. Code History

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

CCSR Code: SYM017

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

References found for this diagnosis code in the External Cause of Injuries Index:

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

ICD-9-CM: 795.51

This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.

Tuberculosis Screening

What is a tuberculosis (TB) screening?

A tuberculosis screening test checks to see if you have the bacteria (germs) that cause tuberculosis (TB) in your body. TB is a bacterial infection that mainly attacks the lungs. But it can also affect other parts of the body, including the brain, spine, and kidneys. TB spreads from person to person when a someone who is sick with TB coughs or sneezes.

TB germs cause two types of conditions:

A TB screening test checks to see if you have TB germs in your body. But it can't show whether you have an inactive TB infection or active TB disease. If a TB screening test finds signs of TB germs, you'll need other tests to find out which type of TB you have so you can get the right treatment.

There are two types of TB tests used for screening: a TB skin test and a TB blood test. Your health care provider or your local health department can let you know which test is best for you.

Other names: TB test, TB skin test, purified protein derivative (PPD) test, latent TB infection test, Mantoux tuberculin skin test; IGRA test, TB blood test

What is it used for?

TB screening is used to look for signs of TB germs in people who have been exposed to someone with active TB disease or who have a high risk of exposure. The screening can show whether you have TB germs in your body and need more testing. It does not show if you have an inactive infection or active disease.

Why do I need a TB screening?

You may need a TB skin test or TB blood test if you were exposed to someone with active TB disease or if you have a high risk of exposure.

Your risk of exposure is higher if you:

You may need a TB screening test if have symptoms of active TB disease, including:

You may need a TB screening test if you have a health condition that increase your risk for getting active TB disease. These conditions include:

What happens during a TB screening?

You may get a TB screening test at your provider's office, a health clinic, or hospital. You will have either be a TB skin test or a TB blood test, depending on your health and medical history. TB skin tests are used more often, but blood tests for TB are becoming more common.

For a TB skin test (also called a Mantoux tuberculin skin test), you will need two visits to complete the test. The first visit is for doing the test and the second visit is for reading the results.

On the first visit:

After two to three days, you will return for the second visit. A health care professional will look at the test spot on your arm to see if your skin reacted. If there is a bump of hard skin, the professional will measure the bump. The meaning of the bump depends on how large it is, your risk of exposure to TB germs, and your risk for developing active TB disease. The professional will let you know whether or not the bump means that you're likely to have TB germs in your body.

For a TB test in blood (also called an IGRA test), a health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. This usually takes less than five minutes.

Will I need to do anything to prepare for the test?

You don't any special preparations for TB skin test or a TB blood test.

Are there any risks to the test?

There is very little risk to having a TB skin test or blood test. For a TB skin test, you may feel a pinch when the fluid is placed under your skin.

For a blood test, you may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly.

What do the results mean?

Your TB skin or blood test results will usually be positive or negative.

A positive result means that you have been infected with TB bacteria. You will need more tests to find out if you have an inactive TB infection or TB disease. These tests may include a chest x-ray or a sputum culture. If you had a positive result on a TB skin test, you may have a TB blood test to confirm the result.

A negative result means that your skin or blood did not react to the test. You are unlikely to have an inactive TB infection or TB disease. But you may still need more testing if you:

Sometimes a TB blood test result will be "borderline," which means the test could not show for sure whether you have a TB infection. If this happens, you will likely be tested again.

Overall, TB screening tests tend to be accurate. But TB blood tests are more accurate than TB skin tests. Your provider will consider whether anything about your health history might affect the accuracy of your test results.

If you have questions about your results, talk with your health care provider.

Learn more about laboratory tests, reference ranges, and understanding results.

Is there anything else I need to know about a TB screening?

Both active TB disease and inactive TB infections should be treated. The treatment for both conditions is antibiotics. To make sure you get rid of all the TB germs in your body, you'll need to follow the directions for taking your medicine. Treatment may last a few months to a year. Stopping treatment too soon can cause the infection to come back and make it harder to treat.

References

  1. American Lung Association [Internet]. Chicago: American Lung Association; c2022. Tuberculosis Symptoms and Diagnosis; [updated 2020 Mar 9; cited 2022 Oct 6]; [about 2 screens]. Available from: https://www.lung.org/lung-health-diseases/lung-disease-lookup/tuberculosis/symptoms-diagnosis
  2. American Lung Association [Internet]. Chicago: American Lung Association; c2022. Tuberculosis Symptoms and Diagnosis; [updated 2020 Apr 8; cited 2022 Oct 6]; [about 4 screens]. Available from: https://www.lung.org/lung-health-diseases/lung-disease-lookup/tuberculosis/treating-and-managing
  3. American Lung Association [Internet]. Chicago: American Lung Association; c2022. Tuberculosis (TB); [cited 2022 Oct 6]; [about 2 screens]. Available from: https://www.lung.org/lung-health-and-diseases/lung-disease-lookup/tuberculosis
  4. Centers for Disease Control and Prevention [Internet]. Atlanta: U.S. Department of Health and Human Services; Signs and Symptoms of Tuberculosis; [updated 2022 May 3; cited 2022 Oct 6]; [about 1 screen]. Available from: https://www.cdc.gov/tb/signs-symptoms/
  5. Centers for Disease Control and Prevention [Internet]. Atlanta: U.S. Department of Health and Human Services; Testing for Tuberculosis; [updated 2016 May 11; cited 2022 Oct 6]; [about 3 screens]. Available from: https://www.cdc.gov/tb/testing/index.html
  6. Centers for Disease Control and Prevention [Internet]. Atlanta: U.S. Department of Health and Human Services; Testing for Tuberculosis; [updated 2016 Apr 14; cited 2022 Oct 6]; [about 1 screen]. Available from: https://www.cdc.gov/tb/testing/index.html
  7. Centers for Disease Control and Prevention [Internet]. Atlanta: U.S. Department of Health and Human Services; Tuberculosis Risk Factors; [updated 2016 Apr 14; cited 2022 Oct 6]; [about 1 screen]. Available from: https://www.cdc.gov/tb/risk-factors/
  8. Centers for Disease Control and Prevention [Internet]. Atlanta: U.S. Department of Health and Human Services; What You Need to Know About Tuberculosis Fact Sheet; [updated 2011 Oct 28; cited 2022 Oct 6]; [about 4 screens]. Available from: https://www.cdc.gov/tb/media/pdfs/What\_You\_Need\_to\_Know\_About\_TB.pdf
  9. Mayo Clinic [Internet]. Mayo Foundation for Medical Education and Research; c1998–2022. Tuberculosis: Diagnosis and treatment; [cited 2022 Oct 6]; [about 7 screens]. Available from: https://www.mayoclinic.org/diseases-conditions/tuberculosis/diagnosis-treatment/drc-20351256
  10. Mayo Clinic [Internet]. Mayo Foundation for Medical Education and Research; c1998–2022. Tuberculosis: Symptoms and causes; [cited 2022 Oct 6]; [about 8 screens]. Available from: https://www.mayoclinic.org/diseases-conditions/tuberculosis/symptoms-causes/syc-20351250
  11. Merck Manual Consumer Version [Internet]. Kenilworth (NJ): Merck & Co., Inc.; c2022. Tuberculosis (TB); [reviewed 2022 Sep; cited 2022 Oct 6]; [about 16 screens]. Available from: https://www.merckmanuals.com/home/infections/tuberculosis-and-related-infections/tuberculosis-tb
  12. National Heart, Lung, and Blood Institute [Internet]. Bethesda (MD): U.S. Department of Health and Human Services; Blood Tests; [updated 2022 Mar 24; cited 2022 Oct 6]; [about 7 screens]. Available from: https://www.nhlbi.nih.gov/health/blood-tests
  13. Testing.com [Internet]. Seattle (WA): OneCare Media; c2022. IGRA TB Test; [modified 2021 Nov 9; cited 2022 Oct 6]; [about 10 screens]. Available from: https://www.testing.com/tests/igra-tb-test/
  14. Testing.com [Internet]. Seattle (WA): OneCare Media; c2022. Sputum; [cited 2022 Oct 6]; [about 1 screen]. Available from: https://www.testing.com/glossary/#sputum
  15. Testing.com [Internet]. Seattle (WA): OneCare Media; c2022. TB Skin Test; [modified 2021 Nov 9; cited 2022 Oct 6]; [about 9 screens]. Available from: https://www.testing.com/tests/tb-skin-test/
  16. UF Health: University of Florida Health [Internet]. Gainesville (FL): University of Florida; c2022. PPD skin test: Overview; [updated 2019 Nov 9; cited 2022 Oct 6]; [about 3 screens]. Available from: https://ufhealth.org/ppd-skin-test
  17. University of Rochester Medical Center [Internet]. Rochester (NY): University of Rochester Medical Center; c2022. Health Encyclopedia: TB Screening (Skin); [cited 2022 Oct 6]; [about 5 screens]. Available from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=tb\_screen\_skin
  18. University of Rochester Medical Center [Internet]. Rochester (NY): University of Rochester Medical Center; c2022. Health Encyclopedia: TB Screening (Whole Blood); [cited 2022 Oct 6]; [about 5 screens]. Available from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=tb\_screen\_blood

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