Full Answer
A patient is seen in the ED at 22 weeks gestation who is HIV positive and asymptomatic. O98.712, Z21, Z3A.22 NOTE: The "Use Additional Code" notation beneath O98.7 reminds you to also report the code for asymptomatic HIV positive status, and the "Code First" notation beneath Z21 supports this sequencing.
A patient is seen in the ED at 22 weeks gestation who is HIV positive and asymptomatic. A patient is admitted with poliovirus meningitis. A patient is admitted with a back pain. A myelogram demonstrated the reason for the back pain is a herniated lumbar intervertebral disc with radiculopathy.
General rules to be followed while coding pregnancy ICD 10 visits- The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records. Any complications or conditions arising due to pregnancy, childbirth or puerperium should be coded using the codes from this chapter.
Supervision of high-risk pregnancy (ICD 10 Code range- O09.0- O09.93) A pregnancy is considered high-risk if the woman is- 17 years or younger 35 years or older
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.
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.
ICD-10 Code for Human immunodeficiency virus [HIV] disease complicating pregnancy, first trimester- O98. 711- Codify by AAPC.
Z11. 4 Encounter for screening for human immunodeficiency virus (HIV).
ICD-10 Coding: Diagnosis of B20 (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.
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.
O98. 51 Other viral disease complicating pregnancy.
O80O80 - Encounter for full-term uncomplicated delivery.
The description for diagnosis code Z11. 4 is “Encounter for screening for human immunodeficiency virus [HIV].
Testing for HIV: Assign code Z11. 4 — Encounter for screening for human immunodeficiency virus [HIV] when seeing a patient with no prior diagnosis of HIV infection or positive HIV-status to determine their HIV status....Coding spotlight: HIV and AIDS.Other HIV-related conditionsWeaknessR53.16 more rows
ICD-10-CM Code for Human immunodeficiency virus [HIV] counseling Z71. 7.
The Pregnancy ICD 10 code belong to the Chapter 15 – Pregnancy, Childbirth, and the Puerperium of the ICD-10-CM and these codes take sequencing priority over all the other chapter codes.
Ectopic pregnancy (Code range- O00.00 – O00.91) – This is a potentially life-threatening condition in which the fertilize egg is implanted outside the uterus, usually in one of the fallopian tubes or occasionally in the abdomen or ovaries.
HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome – (Code range O14.20- O14.25) – A very rare condition seen in pregnant patients mostly with pre-eclampsia usually before the 37 th week of pregnancy.
If the provider has documented that the pregnancy is incidental to the visit, which means that the reason for the visit was not pregnancy related and the provider did not care for the pregnancy, the code to be used is Z33.1, Pregnant state, incidental and not the chapter 15 codes.
If the patient is admitted with a pregnancy complication which necessitated a Cesarean delivery, the code for the complication should be sequenced first. But if the reason for admission was different from the reason for the C-section, the reason for the admission will be sequenced first.
Coding for Pregnancy is sometimes difficult as there are multiple factors that need to be taken into consideration like the trimester, fetus identification, whether it is a high risk pregnancy or a normal pregnancy and other additional code like the code for the weeks of gestation from chapter 22.