Preventive Medicine: Human Immunodeficiency Virus (HIV) Screening

May 9th, 2018 - Brandon Herman, QCC

Categories: CPT^® Coding HCPCS Coding Diagnosis Coding Preventive Medicine Service

Human Immunodeficiency Virus (HIV) Screening

Procedure Codes
G0432: Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening
G0433: Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening
G0435: Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening
86701: Antibody; HIV-1
86702: Antibody; HIV-2
86703: Antibody; HIV-1 and HIV-2, single result
86689: Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)
87389: Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result
87390: Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result
87391: Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; HIV-2

ICD-10-CM
G0432-G0435: Z11.59 for the primary diagnosis, Z72.89, Z34.00, Z34.80, Z34.90, O09.90-O09.93 as secondary diagnosis as appropriate
86701-86703, 86689, 87389-87391: All diagnoses except those for HIV

Frequency
G0432-G0435: Annually for beneficiaries at increased risk, including anyone who asks for the test For beneficiaries who are pregnant, 3 times per pregnancy. First, when a woman is diagnosed with pregnancy; Second, during the third trimester; Third, at labor, if ordered by the woman’s clinician
86701-86703, 86689, 87389-87391: No specified frequency guidelines

Additional Information
86701-86703, 86689, 8738-87391

Not covered by Medicare for preventative care

Find-A-Code™ - Preventive Services - The information in this document does not guarantee payment or that included codes meet applicable qualifications as preventive services for all insurances and insurance plans, please consult your payer.

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