Is R76.1 a billable ICD-10-CM code?

No. R76.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R76.1 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of blood, without diagnosis (R70-R79).

R76.1

R76.1 — Nonspecific reaction to test for tuberculosis

Non-billable headerICD-10-CM

R76.1 is a non-billable header ICD-10-CM code for nonspecific reaction to test for tuberculosis. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with R76.1

These codes carry an Excludes1 note pointing at R76.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R76.1 alone.

R76.11Nonspecific reaction to tuberculin skin test without active tuberculosis
R76.12Nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis
Z22.7Latent tuberculosis

Risk adjustment

R76.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R76.1

2 child codes. Green means billable.

Related codes at this level

Codes that share R76. If R76.1 is not quite right, the correct code is usually one of these.

Questions about R76.1

Is R76.1 a billable ICD-10-CM code?: No. R76.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R76.1 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of blood, without diagnosis (R70-R79).