icd code for hiv

by Miss Libby Williamson MD 9 min read

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.

What is the ICD 9 code for congenital HIV?

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 ...

What is the CPT code for HIV?

12 rows · HIV Screening CPT and ICD -10 Codes TEST PRODUCT PTEST RODUCT Code Rapid Test Modifier ...

What is the ICD 9 code for sexually transmitted disease?

Jan 27, 2016 · This revised addendum contains the following changes: The current 042-044 series of codes has been replaced with a single code, 042, for HIV disease. A new code, V08, has been created for asymptomatic HIV infection. Code 795.8 has been deleted and a new code, 795.71, Inconclusive serological ...

What is the ICD 10 code for history of cirrhosis?

Apr 26, 2016 · 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). If a patient is being seen to determine HIV status, …

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What is the ICD 9 code for HIV?

ICD-9-CM Diagnosis Code 042 : Human immunodeficiency virus [HIV] disease.

What ICD-10 code covers HIV testing?

Also, check out ICD-10-CM code Z11. 4, Encounter for screening for human immunodeficiency virus (HIV).Jun 25, 2018

What is the difference between Z21 and B20?

Once a patient is coded to B20, they will always have B20 coded on their record; they will never go back to being coded using the asymptomatic code Z21. Code Z21 is used for patients who are asymptomatic, meaning they are HIV positive but have never had an HIV-related condition.May 14, 2019

How do you code HIV for medical coding?

Assign code Z21 — Asymptomatic human immunodeficiency virus [HIV] infection status when the patient without any documentation of symptoms is listed as being 'HIV positive', 'known HIV', 'HIV test positive' or similar terminology.Jan 19, 2020

What is diagnosis code Z11 4?

The description for diagnosis code Z11. 4 is “Encounter for screening for human immunodeficiency virus [HIV].Mar 25, 2016

What is diagnosis code Z11 59?

52 will replace Z11. 59 (Encounter for screening for other viral diseases), which the CDC previously said should be used when patients being screened for COVID-19 have no symptoms, no known exposure to the virus, and test results that are either unknown or negative.Dec 21, 2020

Is injury a main term or Subterm?

Main terms identify disease conditions or injuries. Subterms indicate site, type, or etiology for conditions or injuries.Jun 1, 2015

Do you always code B20 first?

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

Can Z21 be used as a primary diagnosis?

Z21 is not usually sufficient justification for admission to an acute care hospital when used a principal diagnosis.

What is the code for HIV-2 illness?

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.

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 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.

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.

When did the HIV addendum become effective?

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 ...

Can HIV be admitted to a hospital?

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.

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 ...

When to use Z21?

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 ...

Who is John Verhovshek?

John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.

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. In the inpatient setting, HIV is the only condition ...

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