795.8-- 5 Positive serological or viral culture findings for human immunodeficiency
virus (HIV), stage 5.
795.8-- 6 Positive serological or viral culture findings for human immunodeficiency
virus (HIV), stage 6.
795.8-- 9 Positive serological or viral culture findings for human immunodeficiency
virus (HIV), stage unspecified or unknown.
a. The principal diagnosis would be selected based on the individual discharge.
The HIV infection codes can be used as either a principal or other diagnosis. The note
"with" and "due to HIV infection" do not imply sequencing.
b. A manifestation associated with an HIV infection, when found after study to have
been chiefly responsible for the hospitalization, is coded as the principal diagnosis. This
is followed than by one of the 4 . subcategory codes and appropriate stage code.
(NOTE: Except for Stage 1 and unspecified, Stage 9).
c. When there is no manifestation, code the HIV infection using as principal
diagnosis one of the 4 . codes with the appropriate stage code. The 4 . code will
be the principal diagnosis.
d. Follow-up Examination. Patients with positive HIV are seen at regular intervals
for follow-up examination; these cases should be coded as follows:
(1) For patients who have an identified manifestation at the end of the hospital
stay, code the manifestation and appropriate 4 . subcategory code. The
manifestation is selected as the principal diagnosis. The V67. code for follow-up is
unnecessary. Code also the appropriate stage code.
(2) For patients who demonstrate no obvious manifestation, code V67. with the
appropriate stage code and the appropriate 4 . code. The follow-up V67. will be the
e. HIV stage codes are usually additional codes. They may be the principal
diagnosis or sole diagnosis only in the following circumstances:
(1) HIV Stage Unspecified (795.8--9) can be used when the patient has been
identified as HIV positive serology, and is en route for evaluation and staging. It may
occasionally represent a nonmilitary inpatient for whom no staging has been done.
(2) HIV Stage 1 (795.8--1) can be used when the patient has been so staged
and demonstrates no manifestations.
f. Laboratory examination. Previous codes in this category are no longer used.
(1) The V72.6- serology codes (four DOD-unique) are for use only; for
outpatients. We have deleted the V72.6- for inpatients but must leave the system intact
for the outpatient US active duty data base. That system collects negative as well as
positive serologies to accommodate the complete formula for rates and percentages.