2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017 (effective 10/1/2016): No change 2018 (effective 10/1/2017): No change 2019 (effective 10/1/2018): No change 2020 (effective 10/1/2019): No change 2021 (effective 10/1/2020): No change 2022 (effective 10/1/2021): No ...
12 rows · ICD 10- CM DIAGNOSIS CODES Situation Code Description Patient seen as part of a routine ...
guidelines for those chapters in ICD-10-CM that will be utilized by health department staff for coding encounters in STD, HIV, Communicable Disease •Demonstrate how to accurately assign ICD-10-CM codes using STD, HIV, Communicable Disease scenarios NOTE: Basic ICD-10-CM Coding training is a prerequisite for this course
5 rows · Subsequent visits use ‘contact with’ codes. Tests which are ordered to evaluate the patient for ...
Human immunodeficiency virus [HIV] disease B20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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.Oct 26, 2021
Asymptomatic human immunodeficiency virus [HIV] infection status. Z21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Good question and one where we find a few errors! The ICD-10-CM code Z21, Asymptomatic human immunodeficiency virus, is used when there is no documentation of symptoms, or if the patient is described as HIV positive, having known HIV, or similar terminology.
When a patient is admitted for an HIV-related condition, sequence B20 Human immunodeficiency virus [HIV] disease first, followed by additional diagnosis codes for all reported HIV-related conditions.Apr 26, 2016
Main terms identify disease conditions or injuries. Subterms indicate site, type, or etiology for conditions or injuries.Jun 1, 2015
The conventions for the ICD-10-CM are the general rules for use of the classification independent of the guidelines. These conventions are incorporated within the Alphabetic Index and Tabular List of the ICD-10-CM as instructional notes.
The word “with” or “in” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index (either under a main term or subterm), or an instructional note in the Tabular List. The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated or when another guideline exists that specifically requires a documented linkage between two conditions (e.g., sepsis guideline for “acute organ dysfunction that is not clearly associated with the sepsis”).For conditions not specifically linked by these relational terms in the classification or when a guideline requires that a linkage between two conditions be explicitly documented, provider documentation must link the conditions in order to code them as related.
Code assignment is based on the provider’s documentation of the relationship between the condition and the care or procedure, unless otherwise instructed by the classification. The guideline extends to any complications of care, regardless of the chapter the code is located in. It is important to note that not all conditions that occur during or following medical care or surgery are classified as complications. There must be a cause-and-effect relationship between the care provided and the condition, and an indication in the documentation that it is a complication. Query the provider for clarification, if the complication is not clearly documented.
The conventions, general guidelines and chapter-specific guidelines are applicable to all health care settings unless otherwise indicated. The conventions and instructions of the classification take precedence over guidelines.
More than one external cause code is required to fully describe the external cause of an illness or injury. The assignment of external cause codes should be sequenced in the following priority:
code from subcategory O9A.2, Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth, and the puerperium, should be sequenced first, followed by the appropriate injury, poisoning, toxic effect, adverse effect or underdosing code, and then the additional code(s) that specifies the condition caused by the poisoning, toxic effect, adverse effect or underdosing.
When assigning a chapter 15 code for sepsis complicating abortion, pregnancy, childbirth, and the puerperium, a code for the specific type of infection should be assigned as an additional diagnosis. If severe sepsis is present, a code from subcategory R65.2, Severe sepsis, and code(s) for associated organ dysfunction(s) should also be assigned as additional diagnoses.
Z21, Asymptomatic human immunodeficiency virus [HIV] infection, is to be applied when the patient without any documentation of symptoms is listed as being “HIV positive,” “known HIV,” “HIV test positive,” or similar terminology. Do not use this code if the term “AIDS” is used or if the patient is treated for any HIV-related illness or is described as having any condition(s) resulting from his/her HIV positive status; use B20 in these cases.
Patients with any known prior diagnosis of an HIV-related illness should be coded to B20. Once a patient has developed an HIV-related illness, the patient should always be assigned code B20 on every subsequent admission/encounter. Patients previously diagnosed with any AIDS/HIV illness(B20) should never be assigned to R75 or Z21 (HIV+).
Case study #10: A 5 month (20 weeks) pregnant patient with a history of AIDS presents to her OB appointment complaining of severe cramping and heavy bleeding. She was put on IV meds and the bleeding stopped The patient was sent to Labor and Delivery.
Case study #11: A medical assistant accidentally punctures finger with needle after drawing bloods from an AIDS patient. The office manager completes the workplace injury forms while the medical assistant is treated by physician in your office. The physician performs a detailed history and problem focused exam. Medical decision making includes blood work, a supply 48 hour PEP medication and counsels the medical assistant regarding transmission prevention. Bloodwork sent to lab for processing.
The physician advises the patient that they are HIV+ (asymptomatic HIV). The physician counsels the patient and explains what it means to have a diagnos is of HIV+ vs. HIV infection, the proper use of medications, implements a treatment plan and advises the patient to return in 3 months for a retest. This is an established patient visit.
This online archive of the CDC Prevention Guidelines Database is being maintained for historical purposes, and has had no new entries since October 1998. To find more recent guidelines, please visit the following:
Official Authorized Addenda:#N#Human Immunodeficiency Virus#N#Infection Codes#N#and Official Guidelines for#N#Coding and Reporting#N#ICD-9-CM