B20

Billable

ChapterA00–B99

Rankcategory

Official Description

Human immunodeficiency virus [HIV] disease

Metadata & Insights

•Billable/specific code (valid for reimbursement).
•Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99).

CH1 Parent Instructions

Includes

diseases generally recognized as communicable or transmissible

Excludes1(Not coded here. Use a different code.)

certain localized infections - see body system-related chapters

Excludes2(Not included here. Code separately if applicable.)

carrier or suspected carrier of infectious disease (Z22.-)
infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
infectious and parasitic diseases specific to the perinatal period (P35-P39)
influenza and other acute respiratory infections (J00-J22)

Use Additional Code

code to identify resistance to antimicrobial drugs (Z16.-)

Instructional Notes

Includes

acquired immune deficiency syndrome [AIDS]
AIDS-related complex [ARC]
HIV infection, symptomatic

Excludes1(Not coded here. Use a different code.)

asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
exposure to HIV virus (Z20.6)
inconclusive serologic evidence of HIV (R75)

Code First

Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)

Use Additional Code

code(s) to identify all manifestations of HIV infection

Clinical Hierarchy

BillableHas subcodes

CH1Certain infectious and parasitic diseases (A00-B99)

B20Human immunodeficiency virus [HIV] diseaseBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to B20:

chapterCH1

Certain infectious and parasitic diseases (A00-B99)

View context instructions

MS-DRG Classification

2026 v43.1

This code is grouped within the following Diagnosis Related Group(s) for clinical reimbursement:

HIV with Extensive O.R. Procedures with MCC

HIV with Extensive O.R. Procedures without MCC

HIV with Major Related Condition with MCC

HIV with Major Related Condition with CC

HIV with Major Related Condition without CC/MCC

HIV with or without Other Related Condition

Cross Reference

Find Procedures (ICD-10-PCS)

Find surgical and procedural codes related to Human immunodeficiency virus [HIV] disease.

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