Also, check out ICD-10-CM code Z11. 4, Encounter for screening for human immunodeficiency virus (HIV).Jun 25, 2018
Getting tested is also an important part of HIV prevention. Medicare covers HIV screenings for people with Medicare, who ask to be tested, pregnant women, and people at an increased risk for infection (such as gay and bisexual men, injection drug users, or people with multiple sexual partners).Jun 27, 2020
ICD-9-CM Diagnosis Code 042 : Human immunodeficiency virus [HIV] disease. 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.
CPT: 87389. If reflex testing is performed, concomitant CPT codes/charges will apply.
Z71.7 Human immunodeficiency virus [HIV] counseling.
The description for diagnosis code Z11. 4 is “Encounter for screening for human immunodeficiency virus [HIV].Mar 25, 2016
CPT® Code 86592 in section: Syphilis test, non-treponemal antibody.
CPT® Code 86803 in section: Hepatitis C antibody.
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.
However, patients who have a history of symptomatic HIV infection, but who are currently asymptomatic, should be coded as 042. HIV-2 ILLNESS. The classification assumes that conditions classified as code 042 are the result of infection with HIV-1 unless an additional code for HIV-2 is included in the record.
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.
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.
This addendum replaces the addendum containing the codes for human immunodeficiency virus (HIV) infection (042.0-044.9) that became effective October 1, 1991. This addendum is effective October 1, 1994, and is the third revision of codes for the classification of HIV infection. This addendum reflects the evolving conceptual framework ...
A patient with HIV disease may be admitted to a health-care facility for an unrelated condition. In these cases, the unrelated condition should be the principal diagnosis, with the 042 code listed as an additional diagnosis, followed by the codes for the manifestations of the HIV disease.
Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.
This NCD has been or is currently being reviewed under the National Coverage Determination process. The following are existing associations with NCAs, from the National Coverage Analyses database.