icd-9-cm code for hiv positive

What is the ICD 9 code for exposure to HIV?

Human immunodeficiency virus [HIV] disease. 2015. Billable Thru Sept 30/2015. Non-Billable On/After Oct 1/2015. ICD-9-CM 042 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 042 should only be used for claims with a date of service on or before September 30, 2015.

What is the diagnosis code for HIV?

• Unrelated condition
• HIV – B20
• HIV related condition

What are the coding guidelines for HIV?

• To use these codes correctly, the physician must provide complete information about the manifestations of the HIV-related illnesses and their relationship to HIV. ...
• All manifestations of HIV infection must be coded. ...
• Selection of the principal diagnosis should be based on the information contained in the individual patient record. ...

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What is the ICD 9 code for severe pulmonary hypertension?

• I27.20 – Pulmonary hypertension, unspecified
• I27.21 – Secondary pulmonary arterial hypertension
• I27.22 – Pulmonary hypertension due to left heart disease
• I27.23 – Pulmonary hypertension due to lung diseases and hypoxia
• I27.24 – Chronic thromboembolic pulmonary hypertension
• I27.29 – Other secondary pulmonary hypertension

What is the ICD-9 code for HIV?

The classification for symptomatic HIV infection consists of a single, three-digit ICD-9-CM code -- code 042, found in Chapter 1, Infectious and Parasitic Diseases, of the ICD-9-CM. This classification places HIV infection at the beginning of the section on viral diseases.

How do you code HIV positive using ICD-10?

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.

Is B20 always coded first?

If a patient is admitted for an HIV-related condition, B20 Human immunodeficiency virus (HIV) disease should be sequenced first, followed by additional diagnosis codes for all reported HIV-related conditions.

What is the medical code for HIV?

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. The 2022 edition of ICD-10-CM B20 became effective on October 1, 2021.

What is ICD 10 code B20?

B20 - Human immunodeficiency virus [HIV] disease | ICD-10-CM.

How do I code B20?

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.

When do you use B20 and Z21?

prior diagnosis of an HIV-related illness — Z21 is no longer reported. If the patient develops an HIV-related illness, they should be assigned code B20 on every subsequent admission/encounter.

What is the code for HIV screening?

When an asymptomatic patient is seen to determine HIV status, the appropriate diagnosis is V73.89 Screening for other specified viral disease. You also may report V69.8 Other problems related to lifestyle as a secondary code if an asymptomatic patient is in a known high-risk group for HIV.

What is the serology number for HIV?

Patients with inconclusive HIV serology, but not a definitive diagnosis or manifestation of the illness, may be assigned 795.71 Nonspecific serologic test for human immunodeficiency virus (HIV).

What is the ICD-9 code for acute myocarditis?

The appropriate ICD-9-CM codes are 042 as primary and 422.0 Acute myocarditis in diseases classified elsewhere as the secondary diagnosis code.

When to assign V08?

Assign V08 Asymptomatic human immunodeficiency virus (HIV) infection when the patient is HIV positive and does not have any documented symptoms of an HIV-related illness. Do not assign V08 if the term AIDS is used, if the patient is treated for any HIV-related illness, or is described as having a condition resulting from HIV-positive status. In these cases, report 042.

When should a patient be assigned code 042?

After a patient has developed an HIV-related illness, the patient’s condition should be assigned code 042 on every subsequent admission/encounter. Never assign 795.71 or V08 to the condition of a patient with an earlier diagnosis of HIV (042).

When a patient with signs, symptoms, or illness, or a confirmed HIV-related diagnosis, is tested for?

When a patient with signs, symptoms, or illness, or a confirmed HIV-related diagnosis, is tested for HIV, you may report the signs/symptoms/illness or related diagnosis, rather than screening V codes. For example, a patient visits the physician for cutaneous lesions on the face and trunk. After biopsy, the physician determines the patient has Kaposi’s Sarcoma. The patient is tested for HIV and the results are positive. In this case, report 042 Human immunodeficiency virus (HIV) disease and 176.0 Kaposi’s sarcoma of the skin.

Does confirmation of HIV require serology?

Confirmation does not require documentation of positive serology or culture for HIV. The physician’s diagnostic statement that the patient is HIV positive or has an HIV-related illness is sufficient.

What is the ICD-9 code for HIV?

The classification for symptomatic HIV infection consists of a single, three-digit ICD-9-CM code -- code 042, found in Chapter 1, Infectious and Parasitic Diseases, of the ICD-9-CM. This classification places HIV infection at the beginning of the section on viral diseases. Multiple coding of all listed manifestations of HIV infection is required. The new code for asymptomatic HIV infection, V08, is found in the Supplementary Classification of Factors Influencing Health Status and Contact with Health Services; the code for inconclusive serologic tests for HIV, 795.71, is found in Chapter 16, Signs, Symptoms, and Ill-Defined Conditions.

What is the new HIV code?

In addition, a new code, V08, has been created for asymptomatic HIV infection. The new code, 795.71, is applicable only to those patients who test positive on a preliminary screening test, but whose HIV infection status is not yet confirmed.

What is the code for asymptomatic HIV?

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.

What is the difference between code 795.8 and code 044.9?

Code 795.8 was intended for inconclusive HIV test results, whereas code 044.9 was intended for asymptomatic HIV infection (or a statement of "HIV positive"). However, both of these codes have been widely misused because of the lack of clear instructions and guidelines.

Why are there modifications to the classification of HIV?

The increasing incidence of HIV infection and advances in medical knowledge about the spectrum of illnesses caused by this virus have created demand for continued modifications to the classification. The current modifications will simplify the coding of HIV-related illnesses and should improve the accuracy of reporting, allowing public health officials, clinical researchers, and agencies that finance health care to monitor more reliably the diagnoses of acquired immunodeficiency syndrome (AIDS) and other manifestations of HIV infection.

What is the code for HIV counseling?

If the results are negative, use code V65.44, HIV counseling. If the results are positive, code V08, Asymptomatic HIV infection, should be used unless the patient has symptoms of HIV disease. If the test result is positive and the patient has an HIV-related illness, code 042, HIV disease, should be used.

How many codes are needed for HIV?

Patients who are admitted for an HIV-related illness should be assigned a minimum of two codes: first assign code 042 to identify the HIV disease and then sequence additional codes to identify the other diagnoses. If a patient is admitted for an HIV-related condition, the principal diagnosis should be 042, followed by additional diagnosis codes for all reported HIV-related conditions.

What is the sequence for HIV?

Sequencing. The proper sequencing for HIV depends on the reason for the admission or encounter. 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. Conditions always considered HIV-related include ...

What condition must be confirmed to select the code?

In the inpatient setting, HIV is the only condition that must be confirmed to select the code. All other conditions documented as “probable,” suspected,” likely,” “questionable,” “probable,” or “still to rule out” are coded as if they exist in the inpatient setting. Dx. Sequencing. The proper sequencing for HIV depends on the reason for ...

Is HIV a diagnosis?

HIV infection/illness is coded as a diagnosis only for confirmed cases. Confirmation does not require documentation of a positive blood test or culture for HIV; the physician’s diagnostic statement that the patient is HIV positive or has an HIV-related illness is sufficient.#N#In the inpatient setting, HIV is the only condition that must be confirmed to select the code. All other conditions documented as “probable,” suspected,” likely,” “questionable,” “probable,” or “still to rule out” are coded as if they exist in the inpatient setting.#N#Dx. Sequencing#N#The proper sequencing for HIV depends on the reason for the admission or encounter. 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. Conditions always considered HIV-related include Kaposi’s sarcoma, lymphoma, Pneumocystis carinii pneumonia (PCP), cryptococcal meningitis, and cytomegaloviral disease. These conditions are considered opportunistic infections.#N#If a patient with HIV disease is admitted for an unrelated condition (e.g., fracture), sequence the code for the unrelated condition, first. Report B20 as an additional diagnosis, along with any HIV-related conditions.#N#Apply Z21 Asymptomatic human immunodeficiency virus [HIV] infection status when the patient is HIV positive and does not have any documented symptoms of an HIV-related illness. Do not use this code if the term AIDS is used. If the patient is treated for any HIV-related illness, or is described as having any condition resulting from HIV positive status, use B20.#N#Patients with inconclusive HIV serology, and no definitive diagnosis or manifestations of the illness, may be assigned code R75 Inconclusive laboratory evidence of human immunodeficiency virus [HIV].#N#Known prior diagnosis of an HIV-related illness should be coded to B20. After a patient has developed an HIV-related illness, the patient’s condition should be assigned code B20 on every subsequent admission/encounter. Never assign R75 or Z21 to a patient with an earlier diagnosis of AIDS or symptomatic HIV (B20).#N#If a patient is being seen to determine HIV status, use code Z11.4 Encounter for screening for human immunodeficiency virus [HIV]. Should a patient with signs, symptoms or illness, or a confirmed HIV-related diagnosis be tested for HIV, code the signs and symptoms or the diagnosis. If the results are positive and the patient is symptomatic, report B20 with codes for the HIV-related symptoms or diagnosis. The HIV counseling code (Z71.7) may be used if counseling is provided for patients with positive test results. When a patient believes that he/she has been exposed to or has come into contact with the HIV virus, report Z20.6.

What is the late phase of HIV?

One or more indicator diseases, depending on laboratory evidence of hiv infection (cdc); late phase of hiv infection characterized by marked suppression of immune function resulting in opportunistic infections, neoplasms, and other systemic symptoms (niaid). rheumatoid arthritis ( M05.-)

What is CD4 positive?

An acquired defect of cellular immunity associated with infection by the human immunodeficiency virus (hiv), a cd4-positive t-lymphocyte count under 200 cells/microliter or less than 14% of total lymphocytes, and increased susceptibility to opportunistic infections and malignant neoplasms.

What is immunodeficiency syndrome?

Clinical Information. A disease caused by human immunodeficiency virus (hiv). People with acquired immunodeficiency syndrome are at an increased risk for developing certain cancers and for infections that usually occur only in individuals with a weak immune system.

What are the most common infections in patients with aids?

Patients with aids are especially susceptible to opportunistic infections (usually pneumocystis carinii pneumonia, cytomegalovirus (cmv) infections, tuberculosis, candida infections, and cryptococcosis), and the development of malignant neoplasms (usually non-hodgkin's lymphoma and kaposi's sarcoma).

What is the prodromal phase of HIV?

A prodromal phase of infection with the human immunodeficiency virus (hiv). Laboratory criteria separating aids-related complex (arc) from aids include elevated or hyperactive b-cell humoral immune responses, compared to depressed or normal antibody reactivity in aids; follicular or mixed hyperplasia in arc lymph nodes, leading to lymphocyte degeneration and depletion more typical of aids; evolving succession of histopathological lesions such as localization of kaposi's sarcoma, signaling the transition to the full-blown aids.

What does the title of a manifestation code mean?

In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.

What is Z16.- code?

code to identify resistance to antimicrobial drugs ( Z16.-) A disease caused by human immunodeficiency virus (hiv). People with acquired immunodeficiency syndrome are at an increased risk for developing certain cancers and for infections that usually occur only in individuals with a weak immune system.

What is postpartum HIV?

Clinical Information. Development of neutralizing antibodies in individuals who have been exposed to the human immunodeficiency virus (hiv/htlv-iii/lav). Infected with the human immunodeficiency virus (hiv), the cause of acquired immunodeficiency syndrome (aids).

When will the ICD-10 Z21 be released?

The 2022 edition of ICD-10-CM Z21 became effective on October 1, 2021.

What does the title of a manifestation code mean?

In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.

What is the code for HIV in a child?

Infants from birth to the age of 18 months who test positive for HIV but do not exhibit any HIV symptoms or conditions should be assigned to code 795.71. However, if the physician documents that the patient has a diagnosis of HIV infection, then code 042 will be assigned regardless of the patient’s age.

What is the code for HIV in pregnancy?

HIV Infection in Pregnancy. If a patient is admitted during pregnancy, childbirth, or the puerperium because of an HIV-related illness, code 647.6x should be sequenced as the principal diagnosis followed by code 042 and the HIV-related illness codes.

What is the code for opportunistic infections?

In these cases, code 042 is assigned and sequenced as the principal diagnosis. However, other conditions may or may not be HIV-related (eg, simple pneumonia, 486).

Can HIV be admitted for treatment?

A patient with an HIV infection may be admitted for treatment of an entirely unrelated condition, in which case the unrelated condition is listed as the principal diagnosis with additional codes assigned for the HIV infection (042) and the associated conditions, if any.

Is HIV the same as AIDS?

Being HIV positive is not the same as having AIDS. Many patients may test positive for HIV but don’t become sick for many years. If the patient is HIV positive but is also asymptomatic—does not have an HIV-related illness—and has not been diagnosed previously with an HIV-related illness, assign ICD-9-CM code V08, ...

Is HIV in blood?

HIV may be present in any bodily fluid, such as blood, semen, vaginal secretions, breast milk, and saliva. Of the five fluids listed, transmission by saliva has not been documented. If a patient has the virus, a blood test will be positive for HIV antibodies. Being HIV positive is not the same as having AIDS.

Do you have to state if you have AIDS?

The physician does not need to state that the patient has AIDS, just that the condition in question is related to HIV. If the patient has a known prior diagnosis of an HIV-related illness, assign code 042 on every subsequent admission.