Skip to main content

R76.1 ICD-10-CM Code: Nonspecific reaction to test for tuberculosis

Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.

Coding at a Glance

Tabular directives
7 Excludes2

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for R76.1 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on R76.1 itself; “inherited from” names the category or block whose note applies here.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from R70-R79

Coder workflow for R76.1

MedCoder structured workflow — derived from this code’s own official record

Before you code R76.1

  1. R76.1 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewR76.11, R76.12

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. Check whether an established diagnosis that explains this sign or symptom is documented. If one is, review whether the documented diagnosis changes the coding pathway: a symptom that is integral to a confirmed diagnosis is not reported separately, while one not routinely associated with it may be. Signs and symptoms are reported when no definitive diagnosis is established (Guidelines I.B.4, I.B.5, I.B.6, I.C.18.b).

    Guide: Symptom code vs confirmed diagnosis →

Choose the right path

  1. Does the documentation support one of the more specific codes beneath R76.1?
    Yes → Select that code and continue the checks below on its own page.
    No → R76.1 cannot be reported as written; query for the specificity its subcategory needs.

    ReviewR76.11, R76.12

  2. Is an established diagnosis that explains this sign or symptom documented?
    Yes → Review whether the documented diagnosis changes the coding pathway: a symptom integral to it is not reported separately.
    No → Continue — the sign or symptom code stands when no definitive diagnosis is established.

Consider R76.1. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes2 — not part of R76.1(7 notes)

    Coding workflow: The conditions named in this note are not included in R76.1. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareO28, E78, D69

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The sign or symptom is documented, and the same record establishes a diagnosis that routinely includes it.

Coding question: Is R76.1 reported in addition to the diagnosis?

Path: Review the documented diagnosis and whether the classification treats this finding as integral to it.

Reason: Signs and symptoms integral to a confirmed diagnosis are not coded separately; those not routinely associated with it may be reported when present (Guidelines I.B.5, I.B.6, I.C.18.b).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse R76.1 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of R76.1 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • R76.9— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Abnormal immunological finding in serum, unspecified” takes R76.9; specificity in the record moves it back here.

    Full comparison: R76.1 vs R76.9 →

  • O28— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of abnormal findings on antenatal screening of mother adds O28; it is not part of this code and both may be reported when both are documented.

    Full comparison: R76.1 vs O28 →

  • E78— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of abnormalities of lipids adds E78; it is not part of this code and both may be reported when both are documented.

    Full comparison: R76.1 vs E78 →

  • D69— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of abnormalities of platelets and thrombocytes adds D69; it is not part of this code and both may be reported when both are documented.

    Full comparison: R76.1 vs D69 →

  • D70— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of abnormalities of white blood cells classified elsewhere adds D70; it is not part of this code and both may be reported when both are documented.

    Full comparison: R76.1 vs D70 →

  • D72— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of abnormalities of white blood cells classified elsewhere adds D72; it is not part of this code and both may be reported when both are documented.

    Full comparison: R76.1 vs D72 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Nonspecific reaction to test for tuberculosis is a non-billable ICD-10-CM category code (R76.1). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

  • Not billable as written — a more specific code is required: R76.11, R76.12.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name R76.1 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 5 Excludes1 notes: A15 — Respiratory tuberculosis, A15-A19 — Tuberculosis (A15-A19), A17 — Tuberculosis of nervous system, A18 — Tuberculosis of other organs, A19 — Miliary tuberculosis.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 8 Excludes2 notes: R83 — Abnormal findings in cerebrospinal fluid (via R76.-), R83-R89 — Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89) (via R76.-), R84 — Abnormal findings in specimens from respiratory organs and thorax (via R76.-), R85 — Abnormal findings in specimens from digestive organs and abdominal cavity (via R76.-), R86 — Abnormal findings in specimens from male genital organs (via R76.-), R87 — Abnormal findings in specimens from female genital organs (via R76.-), R88 — Abnormal findings in other body fluids and substances (via R76.-), R89 — Abnormal findings in specimens from other organs, systems and tissues (via R76.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Contextual Map

Every relationship of R76.1 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run R76.1 with these 13 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

  • A15 — Respiratory tuberculosis[Excludes1]: “nonspecific reaction to test for tuberculosis without active tuberculosis (R76.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • A15-A19 — Tuberculosis (A15-A19)[Excludes1]: “nonspecific reaction to test for tuberculosis without active tuberculosis (R76.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • A17 — Tuberculosis of nervous system[Excludes1]: “nonspecific reaction to test for tuberculosis without active tuberculosis (R76.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • A18 — Tuberculosis of other organs[Excludes1]: “nonspecific reaction to test for tuberculosis without active tuberculosis (R76.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • A19 — Miliary tuberculosis[Excludes1]: “nonspecific reaction to test for tuberculosis without active tuberculosis (R76.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Excludes2 notes

Nearest codes

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Can R76.1 be billed directly?

No. R76.1 (Nonspecific reaction to test for tuberculosis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "R76.1 — Nonspecific reaction to test for tuberculosis." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/r76.1-nonspecific-reaction-to-test-for-tuberculosis

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Nonspecific reaction to test for tuberculosis

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to R76.1 in its code family, with their registry titles.

View all codes in the R76 family