Question

Cindy Chen, a 28-year-old female complaining of inability to sleep and nervousness, arrives at the office. She tested positive for HIV in 2014, although she has been asymptomatic on antiviral drugs. Currently, she lives with her aunt and is going to school to become a phlebotomist. During her interview, she says she thinks her nervousness may be due to upcoming exams and the recurrent sore throat and tiredness she has been experiencing in the last several months.

Discussion Questions:

1. How would you code Cindy’s HIV-positive status using ICD-10?

2. What other diagnosis codes would you use related to Cindy’s symptoms, using the ICD-10 coding system?

3. You note in Cindy’s record that she has a history of mild depression. Should this diagnosis be coded and, if so, how would this diagnosis be coded?

Answer 1

1) ans)
    Human Immunodeficiency Virus (HIV), is a retrovirus that wipe outs the immune system, hindering the body’s ability to fight infections and causing some lymphomas, other malignancies, and infections to develop.

Cindy Chen, a 28-year-old female complaining of inability to sleep and nervousness, arrives at the office. She tested positive for HIV in 2014, although she has been asymptomatic on antiviral drugs. Asymptomatic human immunodeficiency virus [HIV] infection status. Z21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes,says that patients who are HIV positive with any known prior diagnosis of an HIV related illness should be coded to code B20. Only confirmed cases are coded using code B20

Z21 is a billable ICD code used to specify a diagnosis of asymptomatic human immunodeficiency virus [HIV] infection status in this case

B)
some other diagnosis codes which related to symptoms of cidney with nervousness      R45. 0 is a billable ICD code used to specify a diagnosis of nervousness

✓Acute pharyngitis, unspecified sore throat

J02. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes

✓R53. 83 is a billable ICD code used to specify a diagnosis of other fatigue. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

C)Cindy’s record that she has a history of mild depression. mild depression should be coded with
F32. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.