To help lower the risk to your baby:
Answer: Following ICD-10 guidelines, a patient with HIV status without symptoms is coded with Z21, positive HIV status. Some doctors and non-physician practitioners would prefer to use B20. According to ICD-10, B20 is used when the patient has confirmed AIDS.
During pregnancy, childbirth or the puerperium, a patient admitted because of an HIV-related illness should receive a principal diagnosis of 647.8X, Other specified infectious and parasitic diseases in the mother classifiable elsewhere, but complicating the pregnancy, childbirth or the puerperium, followed by 042 and ...
Encounter for supervision of normal pregnancy, unspecified90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester.
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.
Encounter for supervision of normal pregnancy, unspecified, unspecified trimester. Z34. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Encounter for supervision of other normal pregnancy80 Encounter for supervision of other normal pregnancy, unspecified trimester.
Z34. 90 - Encounter for supervision of normal pregnancy, unspecified, unspecified trimester. ICD-10-CM.
Obstetric cases require diagnosis codes from chapter 15 of ICD-10-CM, “Pregnancy, Childbirth, and the Puerperium.” It includes categories O00–O9A arranged in the following blocks: O00–O08, Pregnancy with abortive outcome. O09, Supervision of high-risk pregnancy.
For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient. However, coders are coming across many routine mammogram orders that use Z12. 39 (Encounter for other screening for malignant neoplasm of breast).