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Home/Diagnosis/ICD-10 Coding for HIV Screening

ICD-10 Coding for HIV Screening

Z11.4
Z20.6
B20

Complete ICD-10-CM coding and documentation guide for icd-10 coding for hiv screening includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Human Immunodeficiency Virus Screening
HIV Test
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Key Information: ICD-10 Coding for HIV Screening

Essential facts and insights about ICD-10 Coding for HIV Screening

Use ICD-10 code Z11.4 for encounter for screening for human immunodeficiency virus [hiv], ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Encounter for screening for human immunodeficiency virus [HIV]

Billable Code
Z11.4
Billable

Diagnostic Criteria

  • • Patient presents for routine screening without symptoms.

Applicable To

  • • Routine HIV screening

Important Notes

  • • Ensure documentation specifies the screening nature of the visit.

Contact with and (suspected) exposure to human immunodeficiency virus [HIV]

Billable Code
Z20.6
Billable

Applicable To

  • • Suspected exposure to HIV

Important Notes

  • • Ensure exposure risk is clearly documented.

Human immunodeficiency virus [HIV] disease

Billable Code
B20
Billable

Applicable To

  • • AIDS
  • • HIV infection, symptomatic

Important Notes

  • • Ensure symptoms or history of AIDS are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z71.7

HIV counseling

Use when counseling is provided during the screening encounter.

Frequently Asked Questions

What is the ICD-10 code for routine HIV screening?

The ICD-10 code for routine HIV screening is Z11.4, used for encounters specifically for HIV screening without symptoms or known exposure.

When should Z20.6 be used instead of Z11.4?

Use Z20.6 when there is documented exposure or high-risk behavior, while Z11.4 is for routine screenings without known exposure.

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