AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 2; Ask the Editor

Neurosyphilis with Human Immunodeficiency Virus Disease

A 50-year-old patient with a history of human immunodeficiency virus (HIV) disease presented after experiencing blurry vision for the past two weeks. The patient was admitted and after work-up, the provider diagnosed neurosyphilis. There is an Excludes1 note, at categories A50-A64, Infections with a predominantly sexual mode of transmission, excluding code B20, Human immunodeficiency virus [HIV] disease. The provider was queried whether the neurosyphilis was due to the patient’s HIV infection and the provider did not respond. If code B20 were assigned as directed by the Excludes1 note, the reason for the patient’s admission, neurosyphilis would not be captured. What are the appropriate code assignments for this admission? ...

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