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.

 

Watch the video for Clear Understanding:

Leave a Reply

Your email address will not be published.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