B20

When exploring b20, it's essential to consider various aspects and implications. HIV coding in California - ACDIS Forums. CHSC Code Section 121022 (a) requires health care providers and clinical laboratories to report HIV infection by patient name to the local public health officer. HIV Coding/Query Question - ACDIS Forums. From another angle, so, when the documentation indicates HIV with sepsis, since with is considered a linking term (CC 4th qtr 2017 pg 101), and sepsis is in the CMS list of related conditions, are you coding to the B20 or querying to verify that the sepsis is related to the HIV and not due to a community acquired infection?

HIV — ACDIS Forums. How do your facilities handle "HIV" documentation? What about the coding clinic that says if once coded as B20 the patients condition should always be coded to B20? Are you querying with each admission or checking prior accounts to see if ever coded to B20?

We have a few patients that we know have been diagnosed with HIV ds/AIDS but are on antiretrovirals and are asymptomatic. AIDS and Sepsis — ACDIS Forums. I think the AIDS would be the PDx.

If you sequence sepsis first, it remains in the AIDS DRG. This perspective suggests that, also, seems correct as PDx given that the sepsis is likely due to the AIDS related illness (and the patient may not have even become septic if did not have AIDS). Sequencing of HIV and HIV-related conditions 10/1/1994 ICD-9-CM Coding Clinic, Fourth Quarter 1994 Page: 30 to 31 Effective with discharges ... Circumstance in which sepsis not the principal dx - ACDIS Forums. From another angle, that's correct, sepsis will be your principal diagnosis.

The only time you will not use sepsis as primary diagnosis is when there is a complication code on admission. Acute respiratory distress syndrome, HIV, Encephalopathy Proposed .... In addition, it looks like B20 Human Immunodeficiency virus [HIV] is proposed to change from a MCC to a CC.

And, it looks like G93.40 Encephalopathy, unspecified will remain a MCC. Sepsis and two or more diagnosis that meet PDX - ACDIS Forums. Building on this, two or more diagnoses that equally meet the definition for principal diagnosis “In the unusual instance when two or more diagnoses equally meet the criteria for principal diagnosis as determined by the circumstances of admission, diagnostic workup and/or therapy provided, and the Alphabetic Index, Tabular List, or another coding guidelines does not provide sequencing direction, any one of ... HIV & Cerebral cryptococcosis — ACDIS Forums.

The sequencing rules require B20 as the PDX (I think), but DRG 977 is static - the reimbursement is very low, and hardly reflects the significant cost and LOS associated with treating this major brain infection. Sepsis and Code Sequencing - ACDIS Forums. I have a case where the patient is admitted with Sepsis due to e coil UTI, had a NSTEMI and GI bleeding found to be caused by Acute Duodenal Ulcer with ABLA.