ICD – 10 Guidelines Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99)
ICD – 10 guidelines Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) .
- Human Immunodeficiency Virus (HIV) Infections.
- Infectious agents as the cause of diseases classified to other chapters .
- Infections resistant to antibiotics.
a)Human Immunodeficiency Virus (HIV) Infections.
1)Code only confirmed cases.
- The provider’s diagnostic statement should have patient is HIV positive, or has an HIV-related illness .
- Does not require documentation of positive serology or culture for HIV.
- This is an exception to the hospital inpatient guideline
2) Selection and sequencing of HIV codes.
- Patient admitted for HIV-related condition.
- If a patient is admitted for an HIV-related condition, the principal diagnosis should be B20, Human immunodeficiency virus [HIV] disease.
- Followed by additional diagnosis codes for all reported HIV-related conditions.
Scenario:
Patient coming with Anal cancer patient is having HIV.
How to code?
Principal diagnosis: B20
Additional diagnosis: Anal cancer
(b) Patient with HIV disease admitted for unrelated condition :
- If a patient with HIV disease is admitted for an unrelated condition (such as a traumatic injury), the code for the unrelated condition (e.g., the nature of injury code) should be the principal diagnosis.
- Other diagnoses would be B20 followed by additional diagnosis codes for all reported HIV-related conditions.
Scenario:
Patient who is HIV disease admitted with head injury .
How to code?
Principal diagnosis: head injury
Additional diagnosis: b20
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