HIV-ICD-10-CM-GUIDELINES BY BHARATH KUMAR MEDESUN STUDENT

1. HIV

2. INTRODUCTION
• The human immunodeficiency virus (HIV) is a lentivirus (a
subgroup of retrovirus) that causes HIV infection and over
time acquired immunodeficiency syndrome (AIDS).
• AIDS is a condition in humans in which progressive failure of
the immune system allows life-threatening opportunistic
infections and cancers to thrive.

3. • Without treatment, average survival time after infection with
HIV is estimated to be 9 to 11 years, depending on the HIV
subtype.
• Infection with HIV occurs by the transfer
of blood, semen, vaginal fluid, pre-ejaculate, or breast milk.
Within these bodily fluids, HIV is present as both free virus
particles and virus within infected immune cells.

4. SIGNS&SYMPTOMS
• Dry, flaky skin(xeroderma)
• Chronic fatigue
• Fever that comes and goes(pyrexia)
• Diarrhea that lasts more than a week
• Heavy night sweats(hyperhidrosis)
• Rapid weight loss
• Swollen lymph nodes
• White spots on tongue,mouth&throat

5. DIAGNOSIS
• Blood sample test
• Urine test
• Mouth fluids test
• It is recommended that person who are sexually active or
multiple partners those people should be tested every 6
months.

6. FACTS OF HIV
• HIV is not airborne and cannot be caught by touching skin,
sweat or saliva.
• HIV cannot spread by holding hands or sharing drinks
• Musquito’s do not inject other peoples blood when they bite
and so can’t spread HIV

7. PREVENTION
• Screen all blood and blood products
• Follow universal precautions
• Educate in safer sex practice
• Identify and treat sexually transmitted diseases
• Provide referral for drug dependence

8. ANTIRETROVIRAL
TREATMENT
• NRTI(nucleoside reverse transcriptase inhibitors)
zidovudine
lamivudine
• NNRTI(non-nucleotide reverse transcriptase inhibitors)
nevirapine
delavirdine
• PROTEASE INHIBITORS
indinavir

9. ICD-GUIDELINES
• Selection and sequencing of HIV codes
1. If a patient is admitted for HIV related condition principal
diagnosis should be B20,followed by additional HIV related
conditions
2. If a patient is having HIV admitted for unrelated condition
principal diagnosis should be unrelated condition ,followed
by B20 and additional HIV related conditions

10. • Asymptomatic HIV is reported with Z21
• Patient with inconclusive HIV serology reported with R75
• HIV infection in pregnancy childbirth and the puerperium
reported using o98.7,followed by B20 and HIV related illness
codes.
• To determine patient HIV health status use Z11.4
• For counselling use Z71.7
• https://www.medesunglobal.com

11. THANK YOU