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1、CHAPTER5CHAPTER-SPECIFICGUIDELINES(ICD-9-CMCHAPTERS1-8)ICD-9-CM,Chapter1InfectiousandParasiticDiseasesDividedbasedonetiology(causeofdisease)ManycombinationcodesExample:112.0candidiasisinfectionofmouth,whichreportsbothorganismandconditionwithonecodeMul

2、tipleCodesSequencingmustbeconsideredUTIduetoEscherichiacoli599.0(UTI)etiology041.4(E.coli)organism041categoryisasecondary-codeonlySectionI.C.1.a,d,eHumanImmunodeficiencyVirusCodeHIVorHIV-relatedillnessONLYifstatedasconfirmedindiagnosticstatement042HIVo

3、rHIV-relatedillnessV08AsymptomaticHIVstatus795.71NonspecificHIVserologyOnceanHIVdiagnosiscannotcodeV08SectionI.C.1.a.2.f.PreviouslydiagnosedHIV-relatedillnessCodepriordiagnosisHIV-relateddisease042(HIV)NEVERassignthesepatientsto:V08(asymptomatic)or795

4、.71(NonspecificserologicevidenceofHIV)SectionI.C.1.a.2.SelectionandsequencingofHIVcodesIfadmittedforHIV-relatedillness(e.g.,pneumonia)Code042(HIV)Followedbycurrentillness(Pneumocystiscarinii,136.3)IfadmittedforotherthanHIV-relatedillnessCodefirst-l

5、isteddiagnosisThen042(HIV)(Cont’d…)SectionI.C.1.a.2.SelectionandsequencingofHIVcodes(…Cont’d)SequenceReasonmostresponsibleforencounter,ifHIV(042)AnyadditionaldiagnosisthatimpactstreatmentSectionI.C.1.a.2.g.HIVinfectioninPregnancy,ChildbirthandthePuer

6、periumExceptiontoHIVsequencingDuringpregnancy,childbirth,orpuerperium,code:647.6X(Otherspecifiedinfectionsandparasiticdiseases)Followedby042(HIV)(stateddiagnosis)ThenanyHIV-relatedillness(Cont’d…)SectionI.C.1.a.2.g.HIVandPregnancy(…Cont’d)Asymptomatic

7、HIVduringpregnancy,childbirth,orpuerperium647.6X(Otherspecifiedinfectionsandparasiticdiseases)andV08(AsymptomaticHIVinfectionstatus)SectionI.C.1.a.2.e.PatientswithinconclusiveHIVserology795.71(InconclusiveserologictestforHIV)SectionI.C.1.a.2.h.Encou

8、ntersfortestingforHIVCodeV73.89(Screeningforotherspecifiedviraldisease)Patientinhigh-riskgroupforHIVV69.5(Otherproblemsrelatedtolifestyle)PatientsreturningforHIVscreeningresults=V65.44(HIVcounseling)CautionIncorrectlyapplyingtheseHIVcod