AHA Coding Clinic® for ICD-9 - 1987 July - August
Human Immunodeficiency Virus (HIV) Infectious Classification
Note: As of October 1, 1994, AIDS/HIV is assigned to category 042 and is coded in accordance with the HIV coding guidelines outlined in Coding Clinic, Fourth Quarter, 1994. The material in this issue of Coding Clinic for ICD-9-CM is a reprint of the HIV addendum developed by the National Center for Health Statistics and the Center for Infectious Diseases of the Centers for Disease Control, the U.S. Public Health Service, and published in the December 25, 1987, issue of Morbidity and Mortality Weekly Report. As stated in the introduction, this addendum incorporates recent changes in official terminology...
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Article Overview
This article explains the ICD-9-CM HIV infectious classification addendum and the framework used to organize HIV-related categories and related manifestations. It is relevant to medical coders, CDI staff, abstractors, and public health or research users who need to understand how the classification was structured and updated, along with the general guidance included in the official addendum.
Why This Topic Matters
HIV-related diagnoses were classified under a specialized ICD-9-CM addendum with terminology updates and category revisions that affected record review and code selection. Understanding the scope of this material helps users recognize which classification version and guidance apply to HIV-related documentation from the relevant time period.
Article Sections
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Introduction
Provides the background, effective dates, and relationship of this addendum to earlier HIV classification material. It also summarizes the broad nature of the revisions to the official classification.
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Background
Discusses why a more specific HIV classification was needed and the public health and clinical context behind the development of the addendum. It describes the role of collaborating agencies and the timing of earlier interim classification changes.
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Structure of the Classification
Describes the overall organization of the HIV classification and its placement within ICD-9-CM. It also explains the general relationship between manifestations and category selection.
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Definitions
Outlines the conceptual grouping used in the HIV classification and the broad categories into which HIV infection was divided. It distinguishes the classification’s purpose from staging or severity systems.
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Terminology
Addresses official terminology issues and discourages use of outdated or ambiguous language. It includes guidance on how uncertain references to AIDS should be handled in documentation.
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How to Use This Classification
Summarizes the documentation expectations tied to HIV-related classification and the relationships that must be identified in the record. It also notes the general approach to selecting and applying the codes.
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Reference
Lists the cited reference supporting the addendum’s terminology and classification basis. This section is limited to source attribution.
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Human immunodeficiency Virus (HIV) Infection (042-044)
Introduces the terms used to represent HIV-related categories and the cross-referenced naming conventions included in the addendum. It serves as the entry point to the detailed category list.
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042 Human immunodeficiency virus infection with specified conditions
Presents the first major HIV category and its broad subcategory structure. The section includes general notes and grouped manifestations tied to this category.
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043 Human immunodeficiency virus infection causing other specified conditions
Covers the second major HIV category and its subcategories. It includes grouped manifestations and general notes for conditions associated with this classification area.
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044 Other human immunodeficiency virus infection
Introduces the third major HIV category and its relationship to the broader classification. It includes the opening of the subcategory list for this section.
What You Will Learn
- The purpose and scope of the ICD-9-CM HIV infectious classification addendum
- How the HIV classification was organized into major categories and subcategories
- What kinds of terminology changes and terminology notes were included
- The general relationship between HIV documentation and classification structure
- Which supporting organizations and historical updates are associated with the addendum
Who Should Read This
- Medical coders
- Coding auditors and reviewers
- Clinical documentation integrity staff
- Health information management professionals
- Public health analysts
- Clinical researchers
Codes Discussed
Code Ranges Discussed
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