A test strip code reader is provided. The test strip code reader includes a test strip carrier for accommodating a test strip, a first conductive element for decoding a code of the test strip, a second conductive element configured to be in a contact state or a separation state with the first conductive element, and an activation element having a body and a plurality of protrusions, wherein the body is used to prevent the first conductive element from being contaminated, and according to whether the plurality of protrusions are actuated by the test strip, the contact state or the separation state between the first conductive element and the second conductive element is determined to decode the code of the test strip.