AHA Coding Clinic® for ICD-9 - 2011 Issue 4; Ask the Editor
Latent Tuberculosis
A 35-year-old asymptomatic woman presents to the physician’s office for a follow-up exam after having had a positive tuberculin skin test. The provider diagnosed latent tuberculosis and prescribed 9 months of isoniazid (INH) treatment, after excluding active tuberculosis (TB) based on a symptom review and negative chest x-ray. What is the appropriate code assignment for “latent tuberculosis?†...
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Article Overview
This short coding article discusses latent tuberculosis in the context of a follow-up visit after a positive tuberculin skin test and exclusion of active disease. It is aimed at medical coders and billing staff who need to understand the diagnosis coding reference used for this condition and the time-based indexing note mentioned in the article.
Why This Topic Matters
Accurate diagnosis coding for latent tuberculosis affects documentation consistency, claim reporting, and record review when active tuberculosis has been ruled out. The article also notes a date-specific indexing change that may be relevant when coding encounters from different time periods.
What You Will Learn
- How latent tuberculosis is discussed in diagnosis coding references
- How a follow-up evaluation after a positive tuberculin skin test is framed in the article
- Why the article highlights a date-specific indexing note for this diagnosis term
- The general documentation context used when active tuberculosis has been excluded
Who Should Read This
- Medical coders
- Billing staff
- Health information management professionals
- Clinical documentation specialists
Codes Discussed
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