icd 10 code for exposure to hiv

What are the coding guidelines for HIV?

 · 2022 ICD-10-CM Diagnosis Code Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus [HIV] 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code Z20.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 diagnosis code for?

 · ICD-10 codes for pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP). PrEP. Z20.6 Contact with and (suspected) exposure to HIV; Z20.2 Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission; Z11.3 Encounter for screening for infections with a predominantly sexual mode of transmission

What are the initial symptoms of HIV?

16 rows · PrEP-Related Codes — Initial Visit Coding for: ICD-10 Code Description Visit Z20.6 Contact ...

What are the recommendations for HIV screening?

12 rows · HIV Screening CPT and ICD -10 Codes TEST PRODUCT PTEST RODUCT Code Rapid Test Modifier ...

What is diagnosis code Z11 59?

52 will replace Z11. 59 (Encounter for screening for other viral diseases), which the CDC previously said should be used when patients being screened for COVID-19 have no symptoms, no known exposure to the virus, and test results that are either unknown or negative.

Do you code Z21 first?

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation.

What is post exposure prophylaxis for HIV?

PEP (post-exposure prophylaxis) means taking medicine to prevent HIV after a possible exposure. PEP should be used only in emergency situations and must be started within 72 hours after a recent possible exposure to HIV.

What is the category code for HIV?

Patients with an HIV-related illness should be coded to 042, Human Immunodeficiency Virus {HIV} Disease. Patients with physician-documented asymptomatic HIV infections who have never had an HIV-related illness should be coded to V08, Asymptomatic Human Immunodeficiency Virus {HIV} Infection.

When do you use Z21 vs B20?

Once a patient is coded to B20, they will always have B20 coded on their record; they will never go back to being coded using the asymptomatic code Z21. Code Z21 is used for patients who are asymptomatic, meaning they are HIV positive but have never had an HIV-related condition.

What is the difference between ICD-10 B20 and Z21?

Following ICD-10 guidelines, if a patient has or has had an HIV related condition, use B20 AIDS. If the patient has a positive HIV status, without symptoms or related conditions, use Z21.

What is Telatri 28 used for?

Telatri. Telatri is indicated for the treatment of HIV-1 infection in adults aged 18 years and older.

Can TLD be used as PEP?

Yes you can. TLD is a combination that can be used as PEP and for the management of active HIV infection. PEP stands for post exposure prophylaxis. PEP is used to prevent established infection after exposure.

What is Z20.2?

Z20.2 Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission

Does ICD-10-CM code for PEP?

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding system does not designate specific codes for PrEP or PEP related services. The codes listed here are options for providers to use when discussing and prescribing PrEP and PEP.

How to diagnose HIV?

Diagnosis of HIV infection is primarily made through the use of serologic assays. These assays take one of two forms: antibody detection assays and specific HIV antigen (p24) procedures. The antibody assays are usually enzyme immunoassays (EIA) which are used to confirm exposure of an individual's immune system to specific viral antigens. These assays may be formatted to detect HIV-1, HIV-2, or HIV-1 and 2 simultaneously and to detect both IgM and IgG. When the initial EIA test is repeatedly positive or indeterminant, an alternative test is used to confirm the specificity of the antibodies to individual viral components. The most commonly used method is the Western Blot.

When is a diagnostic test indicated for HIV?

Diagnostic testing to establish HIV infection may be indicated when there is a strong clinical suspicion supported by one or more of the following clinical findings:

What are the symptoms of retroviral syndrome?

The patient has signs and symptoms of acute retroviral syndrome with fever, malaise, lymphadenopathy, and skin rash.

How long does it take to retest for HIV?

If initial serologic tests are HIV EIA negative and there is no indication for confirmation of infection by viral RNA detection, the interval prior to retesting is 3-6 months.

What is the test for HIV?

HIV antibody testing in the United States is usually performed using HIV-1 or HIV-½ combination tests. HIV-2 testing is indicated if clinical circumstances suggest HIV-2 is likely (that is, compatible clinical findings and HIV-1 test negative). HIV-2 testing may also be indicated in areas of the country where there is greater prevalence of HIV-2 infections.

Can serologic testing be used to detect HIV?

In several unique situations, serologic testing alone may not reliably establish an HIV infection. This may occur because the antibody response (particularly the IgG response detected by Western Blot) has not yet developed (that is, acute retroviral syndrome), or is persistently equivocal because of inherent viral antigen variability. It is also an issue in perinatal HIV infection due to transplacental passage of maternal HIV antibody. In these situations, laboratory evidence of HIV in blood by culture, antigen assays, or proviral DNA or viral RNA assays, is required to establish a definitive determination of HIV infection.

Is HIV a diagnostic test?

The HIV antigen tests currently have no defined diagnostic usage.