976 Hiv with major related condition without cc/mcc. ICD-10-CM Diagnosis Code D89.89 ICD-10-CM Diagnosis Code R62.5 Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable ( O98.7-) Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium,...
A pregnant patient in her third trimester at 38 weeks with a symptomatic HIV infection present for check up ICD 10 code is O98.713, B20, Z3A.38 A pregnant patient in her first trimester (8 weeks) diagnoses with HIV, she has not experiencing HIV related condition.
The coder feels that the HIV disease should code to Z21 because there were no symptoms mentioned in the record. The coder points out that there is an excludes note under B20 which excludes “asymptomatic human immunodeficiency virus [HIV] infection status.” That rationale is incorrect.
ICD 10- CM DIAGNOSIS CODES Situation Code Description Patient seen as part of a routine medical exam Z00.00 Routine general medical examination at a health care facility Patient seen to determine his/her HIV status (can be used in addition to routine medical exam) Z11.59 Special screening for other specified viral diseases
Also, check out ICD-10-CM code Z11. 4, Encounter for screening for human immunodeficiency virus (HIV).
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.
ICD-10 Coding: Diagnosis of B20 (HIV)
The code description for B20 is human immunodeficiency virus disease, therefore HIV disease is included in B20, according to the Official Guidelines for Coding and Reporting. That excludes note is specifically referring to a patient that has an asymptomatic HIV infection status, also known as HIV positive.
Code Z21 is used for patients who are asymptomatic, meaning they are HIV positive but have never had an HIV-related condition. Once that patient experiences an HIV-related condition, the Z21 code is no longer appropriate.
2022 ICD-10-CM Diagnosis Code Z21: Asymptomatic human immunodeficiency virus [HIV] infection status.
Z71. 7 — Human immunodeficiency virus [HIV] counseling.