HIV Screening CPT and ICD -10 Codes
HIV Screening CPT and ICD -10 Codes
Code
Rapid Test Modifier
Description
TEST PRODUCT
TEST PRODUCT
86689
86701
92
86702
92
86703
92
87534
87535
87536
87390
92
Antibody; HTLV or HIV antibody, confirmatory test (e.g, Western Blot) Antibody; HIV-1 Antibody; HIV-2 Antibody; HIV-1 and HIV-2, single assay Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semi-quantitative, multiple step method; HIV-1
Code Description
TEST ADMINISTRATION
36415
Collection of venous blood by venipuncture
Code Description
OFFICE SERVICE
99385 99386 99395 99396 9921199215
Initial comprehensive preventive medicine service evaluation and management 18?39 years of age (new patient) Initial comprehensive preventive medicine service evaluation and management 40?64 years of age (new patient) Periodic comprehensive preventive medicine reevaluation and management 18?39 years of age (established patient) Periodic comprehensive preventive medicine reevaluation and management 40?64 years of age (established patient) HIV counseling for patients with positive test results; office or other outpatient visit for the evaluation and management of an established patient
ICD 10- CM DIAGNOSIS CODES
Situation
Code
Patient seen as part of a routine medical exam Z00.00
Description Routine general medical examination at a health care facility
Patient seen to determine his/her HIV status (can be used in addition to routine medical exam)
Asymptomatic patient in a known high-risk group for HIV (can be used in addition to routine medical exam)
Z11.59 Special screening for other specified viral diseases
Z72.89 Other problems related to lifestyle
Counseling provided during the encounter for the test (add additional code if applicable) Returning patient informed of his/her HIV negative test results
Z71.7 Z71.7
HIV counseling HIV counseling
Returning patient informed of his/her HIV
Z21
Asymptomatic HIV infection status
positive test results AND patient is
asymptomatic
Returning patient informed of his/her HIV
B20
HIV disease
positive test results, AND patient is
symptomatic
HIV counseling provided to patient with positive test results
Z71.7
HIV counseling
6/5/17-revised
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