InnovaRx Innova Health Strategies

B20

Human immunodeficiency virus [HIV] disease

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 8 never code together
B20code
Excludes1
  • asymptomatic human immunodeficiency virus [HIV] infection status (Z21)Z21Z21Z21
  • exposure to HIV virus (Z20.6)Z20.6Z20.6Z20.6
  • inconclusive serologic evidence of HIV (R75)R75R75R75
A00-B99chapter
Excludes1
  • certain localized infections - see body system-related chapters
Excludes2
  • carrier or suspected carrier of infectious disease (Z22.-)Z22.-
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)O98.-
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)P35-P39
  • influenza and other acute respiratory infections (J00-J22)J00-J22

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 7
B20code
Includes
  • acquired immune deficiency syndrome [AIDS]
  • AIDS-related complex [ARC]
  • HIV infection, symptomatic
Code first
  • Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)O98.7-O98.7-O98.7-
Use additional code
  • code(s) to identify all manifestations of HIV infection
A00-B99chapter
Includes
  • diseases generally recognized as communicable or transmissible
Use additional code
  • code to identify resistance to antimicrobial drugs (Z16.-)Z16.-
Index entries leading here 10
  • Acquired — see also condition
    • immunodeficiency syndrome (AIDS) B20
  • AIDS (related complex) B20
  • ARC (AIDS-related complex) B20
  • Human
    • immunodeficiency virus (HIV) disease (infection) B20
      • dementia B20
        • with behavioral disturbance B20
  • Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety) F03.90
    • in (due to)
      • human immunodeficiency virus (HIV) disease B20
        • with behavioral disturbance B20
  • Disease, diseased — see also Syndrome
    • viral, virus B34.9
      • human immunodeficiency (HIV) B20
    • human immunodeficiency virus (HIV) B20
    • slim (HIV) B20
  • Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute) G04.90
    • due to
      • human immunodeficiency virus (HIV) disease B20
  • HIV B20
  • Syndrome — see also Disease
    • HIV infection, acute B20
  • Slim disease (in HIV infection) B20
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC1 CMS28HCC1 ESRD21HCC1 ESRD24HCC1 RX08HCC1

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This code

Billable
yes
Code set
FY2026

Present FY2024–FY2027.