Otolaryngology Coding Alert
Is an E/M Correct for TB Skin Tests?
Missouri Subscriber
Answer: The appropriate code for an initial purified protein derivative (PPD) tuberculosis test is 86580 (Skin test; tuberculosis, intradermal). You should report a diagnosis of V74.1 (Special screening examination for bacterial and spirochetal diseases; pulmonary tuberculosis) with 86580 for pulmonary tuberculosis.
Some coders may recommend 99211 (Office or other outpatient visit for the evaluation and management of an established patient) for PPD, but this is incorrect. Note, however, that 86580 does not cover any follow-up care. Therefore, if the patient returns to the office to have the nurse evaluate the test's results, you may then report 99211.
Don't be tempted to report injection codes with 86580. The TB skin test includes administration.
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