Skip to content

Z11.1 ICD-10-CM Code: Encounter for screening for respiratory tuberculosis

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services for examinations (Z00-Z13)

Z11.1

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Encounter for screening for respiratory tuberculosis

A patient is undergoing screening to check for tuberculosis infection in the lungs and respiratory system.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
Z11Encounter for screening for infectious and parasitic diseases
Z11.1Encounter for screening for respiratory tuberculosis

Inclusion Terms

Official
  • Encounter for screening for active tuberculosis disease

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Z11.1 in this effective period.

Related Child Codes

Official
Z11.0Encounter for screening for intestinal infectious diseases
Z11.2Encounter for screening for other bacterial diseases
Z11.3Encounter for screening for infections with a predominantly sexual mode of transmission
Z11.4Encounter for screening for human immunodeficiency virus [HIV]
Z11.5Encounter for screening for other viral diseases

Includes

Official

ICD-10-CM does not list Includes notes for Z11.1 in this effective period.

Excludes 1

Official
  • encounter for diagnostic examination-code to sign or symptom

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z11.1 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z11.1 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z11.1 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code for asymptomatic screening only; if TB symptoms are present, use the appropriate TB diagnosis code
Document the screening method used, such as tuberculin skin test (TST) or chest X-ray

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is Z11.1 an HCC code?

No. Z11.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
Z11.1
Description
Encounter for screening for respiratory tuberculosis
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Z11.1 is the ICD-10-CM diagnosis code for encounter for screening for respiratory tuberculosis. A patient is undergoing screening to check for tuberculosis infection in the lungs and respiratory system. Z11.1 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons encountering health services for examinations (z00-z13).

Z11.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code for asymptomatic screening only; if TB symptoms are present, use the appropriate TB diagnosis code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z11.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code for asymptomatic screening only; if TB symptoms are present, use the appropriate TB diagnosis code
  • Document the screening method used, such as tuberculin skin test (TST) or chest X-ray

Child Codes

Code Hierarchy

Work Z11.1 in HCC Buddy

Open Z11.1 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.