ICD-10-CM Chapter Specific Coding Guidelines - HIV

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we are going to talk about those

guidelines and how to apply them so

let's begin with

HIV HIV is the acronym for

human imuno

deficiency

virus all right so what is HIV what is

it well it's a virus that attacks cells

that helps the body fight

infection and there's no

cure but it is treatable with medicine

and it can even be

undetectable that's great advancement

right all right so let's take a quick

review of the

guidelines and some of you might be

saying hey I kind of know these

guidelines I know but the more we do it

the more repetitive we are the more

we'll know it right yeah all right so

here are the key guidelines

B20 HIV AIDS once assigned once a

patient has HIV AIDS or B20 the coder

may never use any other HIV C code or

HIV related code for this patient and

when I'm saying HIV related code I'm

talking about the ones that I'm about to

show you all right also inconclusive

laboratory evidence of HIV that's

r75 contact withd and suspected exposure

to HIV is

z20.6 encounter for screening for HIV

z11.4 HIV counseling when the counseling

produced a negative result and the

patient has no

symptom then you assign

z71.7 and when the patient has

asymptomatic

HIV this this computer is going by

itself so I'm going to see if I can slow

it down just a

moment there you go all right so when a

patient has asymptomatic HIV that means

they have HIV but no symptoms without

symptoms a symp symptomatic means

without a means without symptomatic

means means

symptom 0

98.7 this is HIV disease complicating

pregnancy childbirth and the perum and

here are some things that you'll need to

remember when you are sequencing HIV

AIDS if the reason for the encounter or

the

RF is an HIV AIDS related

condition then hi HIV AIDS is sequenced

first it's not going to make

sense it's not going to make as much

sense as when you see it in an example

and you will see it

today and remember if the reason for the

encounter is not related to HIV AIDS

let's say the patient has HIV AIDS but

the reason for the encounter is not

related then you're going to sequence

for that encounter first first followed

by HIV

AIDS now I don't know who that spoke to

but hopefully

somebody now I want to know what you

know can you name these HIV

codes all right so I want you to tell me

what the code is when the patient has

HIV AIDS it means that once they have

HIV AIDS this code the coder may never

use any other HIV related code for this

patient what is this code that I'm

talking about go ahead type your answer

in the

chat

outstanding you all rocked it 100% of

you

said B20 look they even gave you a clock

so you have time all right so I am going

to slow up for the next one all

right the next one is inconclusive

laboratory evidence of HIV okay the

patient came in they had a a Laboratory

test the results are

inconclusive which code do you

assign look at that I'm going going put

this little clock up

here and I think you get a couple of

seconds because I want everybody to

respond and

remember we will not divulge your

answers anything you put in that chat is

confidential so feel free we will not

judge you remember we've been there

before and this is why we don't have an

open chat yes some people want that open

chat but this is why all right the

answer is

r75

inconclusive laboratory evidence of

HIV all right contact with and suspected

exposure to

HIV what is the code I'm going to put

this clock

up

I love it I love it those answers are

raining through let's say let's see all

right so when a patient has been in

contact with someone that has HIV any of

these ways right here in the orange

panel unprotected sex someone that has

HIV High viral load yes someone

diagnosed with a high viral load

substance use douching multiple sexual

partners so

z20.6 so anytime they've been in contact

with and suspected to um

um exposure to HIV there you

go all right next one encounter for

screaming for

HIV encounter for screaming that means

the patient came in the

door for screening and that's

it there you

go you all are rocking this chat rocking

rocking rocking

outstanding come on we have a few more

people in here so we can get your

answers good job good job that's what

I'm talking

about all

right so the answer

is

z11.4 and last but certainly not least

the patient has

asymptomatic HIV that means they have a

positive test result but no

symptoms right and symptoms can be fever

chills headaches night sweat sore throat

muscle aches joint pain fatigue swollen

lymph nodes mouth

ulcers

good job good job here you

go and the answer

is

HOH boom

z21 outstanding z21 category now all

right so we got you going a little bit

and know you don't have to memorize

these the only one I think you should

memorize B20 and z20

now are you ready to test your knowledge

you ready for some

scenarios I'm

ready I love these because it lets me

know how you're doing okay so this is

how you solve a scenario number one you

highlight or inventory your key terms in

this case you're going to inventory your

diagnoses signs and symptoms only only

don't don't highlight your um procedures

don't do that because um we're only

talking about diagnosis when you move on

to part three you're going to be

expected to do all of these but for now

highlight or inventory your keywords or

key terms which will be your diagnosis

signs and symptoms number two you

identify that first listed code and

three apply all guidelines this is a a

general way to solve a scenario however

however you're going to see us do

multiple things just know whatever works

for you is good it is best and we highly

highly endorse it all right so now that

we know how to solve a scenario there

are some things that I want to tell you

to always keep in

mind make sure that you keep in mind

these um category recognitions know that

infectious diseases code range is a00

through b99 know that because we're

talking about it right just thought I