ICD – 10 Guidelines Chapter-1 Encounters for testing for HIV
ICD – 10 Guidelines Chapter-1 Encounters for testing for HIV
(h) Encounters for testing for HIV.
- If a patient is being seen to determine his/her HIV status, use code Z11.4, Encounter for screening for human immunodeficiency virus [HIV]. Use additional codes for any associated high risk behavior.
Scenario:
- Patient is coming to ED to know the status of HIV whether it is positive or negative.
How to code?
PDx: z11.4
- If a patient with signs or symptoms is being seen for HIV testing, code the signs and symptoms. An additional counseling code Z71.7, Human immunodeficiency virus [HIV] counseling, may be used if counseling is provided during the encounter for the test.
Scenario:
- A patient with infection coming to hospital for evaluation.
- How to code?
- Physician has evaluated and the infection and he gave oral drug and additionally he is giving counseling for HIV.
- PDX: infection
- SDX:z71.7
- When a patient returns to be informed of his/her HIV test results and the test result is negative, use code Z71.7, Human immunodeficiency virus [HIV] counseling.
Scenario:
- Patient is coming to ED to know the status of HIV yesterday and today physician conformed that test result are negative.
- How to code?
- PDx: z71.7
- Po z21
b. Infectious agents as the cause of diseases classified to other chapters .
- Certain infections are classified in chapters other than Chapter 1 and no organism is identified as part of the infection code. In these instances, it is necessary to use an additional code from Chapter 1 to identify the organism.
- A code from category B95, Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified to other chapters.
- B96, Other bacterial agents as the cause of diseases classified to other chapters.
- B97, Viral agents as the cause of diseases classified to other chapters, is to be used as an additional code to identify the organism.
- An instructional note will be found at the infection code advising that an additional organism code is required.
Scenario:
- Patient coming to op for urinary tract infection for evaluation.
- How to code?
- Physician examined and give antibiotic and final diagnosis is given as UTI with virus infection.
- Pdx:n39.0
- Sdx: b97.89
c. Infections resistant to antibiotics.
- Many bacterial infections are resistant to current antibiotics. It is necessary to identify all infections documented as antibiotic resistant. Assign a code from category Z16, Resistance to antimicrobial drugs, following the infection code only if the infection code does not identify drug resistance.
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