R75

R75: Inconclusive laboratory evidence of human immunodeficiency virus [HIV]

Billable / specific codeICD-10-CM

R75 is a billable, specific ICD-10-CM code for inconclusive laboratory evidence of human immunodeficiency virus [hiv]. It is valid for submission on a claim.

Check R75 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
human immunodeficiency virus [HIV] disease (B20)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Nonconclusive HIV-test finding in infants

Other codes that can never be billed with R75

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z21Asymptomatic human immunodeficiency virus [HIV] infection status
B20Human immunodeficiency virus [HIV] disease

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

HIV›laboratory evidence(nonconclusive)
HIV›nonconclusive test(in infants)
Positive›test, human immunodeficiency virus(HIV)
Human›immunodeficiency virus›laboratory evidence
Test, tests, testing›HIV›nonconclusive(in infants)

Code history

Unchanged in every release from FY2024 to FY2027.