TMPPM 2011 > Children's Services Handbook > THSteps Medical > Services/Benefits, Limitations, and Prior Authorization > Screening Components With Additional Requirements > Tuberculosis Screening

5.3.2.5 Tuberculosis Screening

In areas of low TB prevalence, administer the Tuberculosis (TB) Screening and Education Tool annually beginning at one year of age. In areas of high prevalence, administer the TB skin test at one year of age, once between 4 through 6 years of age, and one between 11 through 17 years of age. Administer the TB Questionnaire annually beginning at two years of age and thereafter at other medical checkups.

A listing of counties with a high prevalence of TB is available at www.dshs.state.tx.us/idcu/disease/tb/statistics/hiprev/.

Providers can also call the TB program at 1-512-458-7447 for more information.

A follow-up visit (procedure code 99211) is required to read all TB skin tests. The provider may bill the follow-up visit with a provider identifier and THSteps benefit code.

A TB skin test is billed when administered according to the THSteps Periodicity Schedule with the procedure code, 86580 to document the use of the supplies provided by DSHS.

If further evaluation is required to diagnose either latent TB infection or active TB disease, the provider may bill the appropriate E/M office visit code. Diagnosis and treatment are provided as a medical office visit.

Refer to: "TB Policues and Procedures" at www.dshs.state.tx.us/idcu/disease/tb/policies/default.asp for guidance on the evaluation of a positive skin test.

Form CH.59, "TB Questionnaire" and Form CH.60, "Cuestionario Para la Detección de Tuberculosis" in Appendix A, "THSteps Forms," in this handbook.

Form CH.62, "PPD Agreement for Texas Health Steps Providers" in Appendix A, "THSteps Forms," in this handbook.