ICD Code B20-

ICD code B20 is human immunodeficiency virus [HIV] disease.

1. Laboratory confirmation of HIV infection (positive HIV antibody, antigen, or nucleic acid test)

2. Documentation of HIV disease or AIDS in the medical record

3. Presence of opportunistic infections (e.g., Pneumocystis jirovecii pneumonia, candidiasis of the esophagus, Kaposi’s sarcoma)

4. Evidence of HIV-related conditions (e.g., HIV encephalopathy, wasting syndrome due to HIV)

5. Symptomatic HIV infection, regardless of CD4 count

6. History of HIV infection with current symptoms or complications attributable to HIV

Relevant CPT codes that may be used to treat ICD code B20- include:

- 99201–99215 (Evaluation and Management services)

- 36415 (Collection of venous blood)

- 80050, 80053 (General health panels, comprehensive metabolic panel)

- 86701, 86702, 86703 (HIV-1, HIV-2 antibody testing)

- 87534, 87535, 87536 (HIV-1, HIV-2 RNA quantification)

- 96365–96372 (Therapeutic, prophylactic, and diagnostic injections and infusions)

- 96374 (Therapeutic, prophylactic, or diagnostic injection, intravenous push)

- 96375 (Each additional sequential intravenous push)

- 96376 (Each additional sequential intravenous push of a new substance/drug)

- 99406, 99407 (Smoking and tobacco use cessation counseling)

- 99408, 99409 (Alcohol and/or substance abuse structured screening and brief intervention)

- 99495, 99496 (Transitional care management services)

- 99497, 99498 (Advance care planning)

CPT code selection should be based on the specific services rendered and clinical documentation.

See how MD Clarity’s RevFind software can automatically read your contracts and identify underpayments for CPT codes related to ICD code B20-. Schedule a demo today to ensure your organization is capturing every dollar it’s owed.