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.
For Full Course of Medical Coding you can get it on Udemy. Click on below link to get the course:
https://www.udemy.com/course/icd-10-guidelines-for-medical-coding-with-scenarios/?referralCode=C480617856FBC7B9E2CC
Watch the video for Clear Understanding: