National Women and Girls HIV/AIDS Awareness Day is an annual observance to recognize the impact of HIV on women and girls. Every year on March 10, federal, national, and community organizations come together to offer support and hope, reduce stigma, share information, and empower women and girls to learn the importance of HIV/AIDS prevention, care, and treatment. This year marks the 10th observance of National Women and Girls HIV/AIDS Awareness Day. According to Womens health.gov about one in four people living with HIV in the United States are women 13 or older. Only about half of women living with HIV are getting care.
Fortunately, the Affordable Care Act (ACA) provides more coverage to people living with HIV/AIDS – as well as people who are at the highest risk, particularly low-income people. The Centers for Medicare and Medicaid Services (CMS) has proposed expanding coverage for HIV screening for Medicare beneficiaries. People living with this viral disease can enroll in the Pre-existing Condition Insurance Plan, which helps them change and save lives. Insurers will not be allowed to deny coverage to anyone or impose annual limits on coverage. ACA helps people by ensuring coverage for people with pre-existing conditions, expanding Medicaid coverage, providing more affordable private health coverage and lowering prescription drug costs.
Reporting HIV Diagnosis, Screening and Counseling
Hospital emergency departments may bill the HIV Testing Visit and the HIV Counseling (Positive) Visit. The HIV Counseling without Testing Visit may not be billed for ED patients. Diagnosis information laboratory order should accurately describe the patient’s condition as documented in the patient’s medical record. Relevant ICD-9 codes include –
- V65.44 – Counseling provided during the encounter for the test
- V73.89 – Special screening for other specified viral diseases (Patient seen to determine his/ her HIV status)
- V69.8 – Other problems related to lifestyle (Asymptomatic patient in a known high-risk group for HIV)
- V08 – Asymptomatic HIV infection status (Returning patient informed of his/her HIV positive test results AND patient is asymptomatic).
In ICD-10-CM, the codes to be assigned are:
- B 20 Human immunodeficiency virus (HIV) disease
- Z21 Asymptomatic human immunodeficiency virus (HIV) infection status
- Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus (HIV)
- Z71.7 Human immunodeficiency virus (HIV) counseling
- Z11.4 Encounter for screening for human immunodeficiency virus (HIV)
- R75 Inconclusive laboratory evidence of human immunodeficiency virus (HIV)
A physician treating a patient for an illness related to HIV will have to report B20 first, and then include the code for the illness being treated. If the illness is not related to the patient’s HIV, the condition treated has to be reported first, and B20 second. You can find the guidelines in section I.C.I under Chapter 1 of the ICD-10 manual, Certain Infectious and Parasitic Diseases (I.C.1.a.1 – I.C.1.a.2.h). According to the guidelines, the confirmation requires the provider’s diagnostic statement that the patient is HIV positive or has an HIV-related condition. Documentation of positive serology or culture for HIV is not required for confirmation.
Spread Awareness of HIV/AIDS to Prevent / Manage the Disease
The Office on Women’s Health, U.S. Department of Health and Human Services, the national sponsor of NWGHAAD 2015 OWH will host the “Red Shoe and Red Lipstick HIV/AIDS Awareness Walk”, on March 10 in Washington, DC. Other event ideas provided by OWH to spread awareness include – organizing an art gallery or art show for school and college students, partnering with local bookstores and libraries to set up a display of books addressing the HIV/AIDS epidemic and its effects on women and girls, holding a candlelight vigil to raise awareness, holding a screening of a documentary that highlights the reality and offering free HIV testing at your clinic, college, or other location.