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R75

R75Inconclusive 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.

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

These codes carry an Excludes1 note pointing at R75. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R75 alone.

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

Risk adjustment

R75 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How R75 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R75.

  • HIVlaboratory evidence(nonconclusive)
  • HIVnonconclusive test(in infants)
  • Positivetest, human immunodeficiency virus(HIV)
  • Humanimmunodeficiency viruslaboratory evidence
  • Test, tests, testingHIVnonconclusive(in infants)

Questions about R75

Is R75 a billable ICD-10-CM code?
Yes. R75 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R75 sit in the tabular list?
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of blood, without diagnosis (R70-R79).
What cannot be coded together with R75?
R75 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.