ICD 10 CM B20 | Description & Clinical Information

ICD 10 B20 describes a medical condition caused by a retrovirus that destroys CD4 cells, also known as T cells, T lymphocytes, or helper cells, resulting in a weakened immune system that makes the patient vulnerable to opportunistic infections and AIDS, and is commonly transmitted through unsafe sexual practices and infected needle or syringe use.

Official Description Of B20

The ICD 10 CM book defines ICD 10 code B20 as:

Human immunodeficiency virus [HIV] disease
Code first Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)
Includes: acquired immune deficiency syndrome [AIDS]
AIDS-related complex [ARC]
HIV infection, symptomatic
Use additional code(s) to identify all manifestations of HIV infection
Excludes1: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
exposure to HIV virus (Z20.6)
inconclusive serologic evidence of HIV (R75)

Clinical Information

The diagnosis describes by the ICD 10 CM B20 code pertains to the Human Immunodeficiency Virus (HIV), a global concern and a major public health issue. Identifying HIV infection at its earliest stages is crucial to ensure effective treatment and management of the condition. Physicians and healthcare providers use the ICD 10 CM B20 code to document the patient’s HIV status, which is necessary for accurate medical coding and billing.

The symptoms of early or acute HIV infection include fever, muscle ache, swollen glands, and a sore throat. Patients may also experience weight loss, weakness, and general fatigue. If left untreated, the virus progresses to stage 2 or latency. During this stage, the virus lives within the white blood cells of the patient’s immune system. The individual may not exhibit any outward signs of illness, but the immune system is weakened, and the risk of developing opportunistic infections is increased.

The final stage of the ICD 10 CM B20 diagnosis code is AIDS, characterized by a significantly weakened immune system. Patients with AIDS exhibit symptoms such as weight loss, chronic diarrhea, seizures, and mental confusion. Opportunistic infections become more frequent and severe during this stage, and patients are at greater risk of developing serious medical conditions like cancer.

Healthcare providers use several methods to confirm an HIV diagnosis. Blood tests that look for antibodies or antigens confirm the presence of the virus, and nucleic acid tests that detect the HIV virus itself may be used. Treatment for HIV is essential, and antiretroviral therapy (ART) is used to manage the virus’s progression. ART consists of a combination of three antiretroviral drugs that slow down the progression of the virus by suppressing its ability to replicate. Patients must take the medication regimen as prescribed to slow progression and improve overall health outcomes.

One of the most critical aspects of HIV is that patients can spread the virus to others. Doctors advise patients with the ICD 10 CM B20 diagnosis and any stage of HIV to take precautions to prevent transmission. Personal hygiene, such as regular hand washing, is essential, as is avoiding contact with bodily fluids, especially during sexual activity. Patients should always use barrier methods such as condoms during sexual activity and get tested and treated for other sexually transmitted infections. They should also avoid sharing needles and any other equipment used for injecting drugs.

In conclusion, the ICD 10 CM B20 diagnosis code describes the stages of HIV infection, which includes early, latency, and AIDS. Early detection and treatment of HIV can slow its progression and improve the quality of life of those living with the virus. It is recommended that people practice preventive measures to avoid the spread of HIV infection. Medical coding professionals must understand the ICD 10 CM B20 code and its significance in medical billing and documentation accurately.

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