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Home/Diagnosis/ICD-10 Coding for PrEP

ICD-10 Coding for PrEP

Z29.81
Z11.4

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

Also Known as:
Pre-exposure prophylaxis
HIV prevention medication
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Key Information: ICD-10 Coding for PrEP

Essential facts and insights about ICD-10 Coding for PrEP

Use ICD-10 code Z29.81 for encounter for prophylactic measures for prevention of human immunodeficiency virus [hiv] infection, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Encounter for prophylactic measures for prevention of Human Immunodeficiency Virus [HIV] infection

Billable Code
Z29.81
Billable

Diagnostic Criteria

  • • Patient is receiving or managing PrEP medication.

Applicable To

  • • HIV pre-exposure prophylaxis

Important Notes

  • • Ensure Z29.81 is the primary code for PrEP encounters.

Encounter for screening for HIV

Billable Code
Z11.4
Billable

Important Notes

  • • Link to specific HIV test performed.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z11.4

Encounter for screening for HIV

Use when an HIV test is performed during the encounter.

Frequently Asked Questions

What is the ICD-10 code for PrEP?

The ICD-10 code for PrEP is Z29.81, used for encounters involving HIV pre-exposure prophylaxis management.

Is Z29.81 the primary code for PrEP?

Yes, Z29.81 should be used as the primary code for all PrEP management encounters.

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