ICD-10 Code B20 | Human immunodeficiency virus [HIV] disease Symptoms, Diagnosis, Billing

Human immunodeficiency virus (HIV) disease is a chronic viral infection that progressively weakens the immune system, leading to increased susceptibility to opportunistic infections and certain cancers. Accurate coding with ICD-10 Code B20 is essential for proper diagnosis, documentation, medical billing, and public health reporting, facilitating appropriate patient management and resource allocation.

What is ICD-10 Code B20 for Human immunodeficiency virus [HIV] disease?

ICD-10 Code B20 represents Human immunodeficiency virus (HIV) disease, a condition characterized by the progressive destruction of CD4+ T lymphocytes, leading to immunodeficiency. This code should be used when documenting a confirmed diagnosis of HIV disease, particularly in cases where the patient exhibits symptoms or complications related to the infection.

ICD-10 Code B20 – Clinical Definition and Explanation of Human immunodeficiency virus [HIV] disease

Human immunodeficiency virus (HIV) disease is caused by the HIV virus, which attacks the immune system, specifically targeting CD4+ T cells. Without treatment, HIV can progress to acquired immunodeficiency syndrome (AIDS), necessitating medical intervention to manage symptoms and prevent complications.

Key Clinical Features:

• Persistent lymphadenopathy
• Recurrent opportunistic infections
• Unexplained weight loss
• Neurological complications such as HIV-associated dementia

ICD-10 Code B20 for Human immunodeficiency virus [HIV] disease – SOAP Notes & Clinical Use

ICD-10 Code B20 is utilized in SOAP notes to document the patient's symptoms, assessment, and treatment plan for HIV disease. It is relevant in both acute and chronic care settings, ensuring comprehensive patient management and accurate billing.

What Does ICD-10 Code B20 for Human immunodeficiency virus [HIV] disease Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B20 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of HIV disease. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code B20 – Human immunodeficiency virus [HIV] disease

The management of Human immunodeficiency virus (HIV) disease requires urgent medical attention and often hospitalization for severe cases. Treatment typically involves antiretroviral therapy (ART) to control viral replication.

Antibiotic Therapy:

• Not applicable as HIV is a viral infection; however, prophylactic antibiotics may be used for opportunistic infections.

Supportive Care:

• Regular monitoring of CD4 counts and viral load
• Nutritional support and counseling
• Management of opportunistic infections

Infection Control:

• Strict adherence to universal precautions
• Education on safe practices to prevent transmission
• Isolation protocols during outbreaks of opportunistic infections

How to Document Symptoms of Human immunodeficiency virus [HIV] disease (ICD-10 B20) in SOAP Notes

Subjective:

• Patient reports persistent fatigue and weight loss.
• History of recurrent respiratory infections.
• Complaints of night sweats and fever.
• Patient expresses concern about potential exposure to HIV.

Objective:

• Vital signs: Temperature 100.4°F, pulse 88 bpm.
• Physical exam reveals lymphadenopathy in cervical and axillary regions.
• Laboratory results show CD4 count of 250 cells/mm³.
• Positive HIV antibody test confirmed.

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SOAP Note Guidelines for Diagnosing Human immunodeficiency virus [HIV] disease (ICD-10 Code B20)

Assessment:

• Diagnosis: Human immunodeficiency virus (HIV) disease, moderate severity.
• ICD-10 Code: B20.
• Contributing factors: History of high-risk behavior.
• Triggers: Recent exposure to known HIV-positive individual.

Plan:

• Initiate antiretroviral therapy (ART) regimen.
• Schedule follow-up for CD4 count and viral load monitoring.
• Provide education on safe sex practices and prevention of transmission.
• Refer to infectious disease specialist for comprehensive management.

Treatment & Plan Section for ICD-10 Code B20 – Human immunodeficiency virus [HIV] disease

• First-line pharmacologic treatment includes a combination of antiretroviral medications.
• Non-pharmacologic strategies include counseling on lifestyle modifications and nutrition.
• Monitoring includes regular CD4 count and viral load assessments.
• Follow-up practices involve routine visits every 3-6 months for ongoing management.

Using ICD-10 Code B20 for Human immunodeficiency virus [HIV] disease in Billing & SOAP Note Compliance

• Select appropriate subcodes based on clinical severity or complications.
• Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Only list CPT codes that are commonly billed with ICD-10 Code B20 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Human immunodeficiency virus [HIV] disease

ICD-10 Code B20 in Medical Billing and Insurance for Human immunodeficiency virus [HIV] disease

ICD-10 Code B20 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure accurate documentation of the diagnosis and related symptoms.
• Use B20 in conjunction with appropriate CPT codes for services rendered.
• Document any complications or comorbidities to support the claim.
• Review payer-specific guidelines for billing HIV-related services.

Common CPT Pairings: