2025 ICD-10-CM code B20
(Active) Effective Date: N/A Certain infectious and parasitic diseases - Human immunodeficiency virus [HIV] disease 1 Feed
Human immunodeficiency virus [HIV] disease. Code first any HIV-related complications during pregnancy, childbirth, or the puerperium (O98.7-).
Medical necessity for HIV-related services is based on the individual's clinical condition, including the stage of HIV infection, the presence of opportunistic infections, and the need for ongoing monitoring and treatment to prevent disease progression and transmission.
Clinicians should document the stage of HIV infection, any opportunistic infections, and related conditions.Regular monitoring of CD4 cell counts and viral load is essential for managing the disease and guiding treatment decisions.
In simple words: HIV disease weakens the immune system, making individuals vulnerable to infections and illnesses.It includes AIDS (acquired immunodeficiency syndrome) and ARC (AIDS-related complex).Your doctor will also code any other health problems caused by HIV.
Human immunodeficiency virus [HIV] disease includes acquired immune deficiency syndrome [AIDS] and AIDS-related complex [ARC]. Use additional code(s) to identify all manifestations of HIV infection.
Example 1: A patient presents with fever, weight loss, and diarrhea.Tests confirm HIV infection and a CD4 count below 200, indicating AIDS. The patient also has Pneumocystis jirovecii pneumonia (PCP), an opportunistic infection.Codes: B20, J17.21, A pregnant woman is diagnosed with HIV. She receives antiretroviral therapy (ART) to prevent transmission to her baby. Code: B20, O98.71, A patient with a history of HIV infection develops Kaposi's sarcoma, a type of cancer associated with AIDS.Codes: B20, C46.0
Documentation should include the type of HIV infection, stage of the disease (acute, chronic, AIDS), CD4 cell counts, viral load measurements, the presence of opportunistic infections, and any related conditions or complications.
- Specialties:Infectious Disease, Internal Medicine, Family Medicine, Obstetrics/Gynecology, Pediatrics, Oncology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Public Health Clinic