ICD – 10 Guidelines Chaper-1 Selection and sequencing of HIV code

ICD – 10 Guidelines Chaper-1 Selection and sequencing of HIV code:

2)  Selection and sequencing of HIV code

c) Whether the patient is newly diagnosed:

Whether the patient is newly diagnosed or has had previous admissions/encounters for HIV conditions is irrelevant to the sequencing decision.

d) Asymptomatic human immunodeficiency virus:

->   Z21 Asymptomatic human immunodeficiency virus [HIV] infection status, 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.

 

Scenario:

Patient is coming to hospital with stomach pain who is HIV positive.

How to code?

Principle diagnosis:  Stomach pain

Additional diagnosis: Z21

e) Patients with inconclusive HIV serology:

Patients with inconclusive HIV serology, but no definitive diagnosis or manifestations of the illness,may be assigned code R75,  Inconclusive laboratory evidence of HIV.

 

Scenario:

Patient  is pregnant came to hospital for HIV test and the result is inconclusive.

How to code?

R75

 

f) Previously diagnosed HIV – related illness:

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 on every subsequent admission/encounter. Patients previously diagnosed with any HIV illness (B20) should never be assigned to R75 or Z21, Asymptomatic human immunodeficiency virus [HIV] infection status.

Scenario:

Patient coming with Tuberculosis and previously he diagnosed with HIV.

How to code?

Pdx: B20    Pdx- principle diagnosis

Sdx:  TB      Sdx- secondary diagnosis.

 

g) HIV Infection in Pregnancy, Childbirth and the Puerperium:

During pregnancy, childbirth or the puerperium, a patient admitted because of an HIV – related illness should receive a principle diagnosis code of O98.7-, Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium, followed by B20 and the code(s) for the HIV – related illness(es). Codes from Chapter 15 always take sequencing priority.

Patients with asymptomatic HIV infection status admitted ( or presenting for health care encounter ) during pregnancy, childbirth, or the puerperium should receive codes of pdx O98.7- and Z21.

Scenario:

Patient is pregnant coming with Cytomegalovirus and she is having HIV disease.

How to code?

Pdx:   O98.7

Sdx:   B20

Sdx:   Cytomegalovirus

 

Watch the video for Clear Understanding:

 

Leave a Reply

Your email address will not be published. Required fields are marked *