Z20.6
Z20.6: Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
Billable / specific codeICD-10-CM
Z20.6 is a billable, specific ICD-10-CM code for contact with and (suspected) exposure to human immunodeficiency virus [hiv]. It is valid for submission on a claim.
Check Z20.6 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- asymptomatic human immunodeficiency virus [HIV]
- HIV infection status (Z21)
Excludes1 inherited from the categories above Z20.6
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above Z20.6
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with Z20.6
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z20.6 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58761Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Alphabetic index entries that lead here
- Contact›AIDS virus
- Contact›HIV
- Contact›HTLV-III/LAV
- Contact›human immunodeficiency virus(HIV)
- Exposure›AIDS virus
- Exposure›human immunodeficiency virus(HIV)
- Human›immunodeficiency virus›contact
- Human›immunodeficiency virus›exposure to
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Z20
- Z20.0Contact with and (suspected) exposure to intestinal infectious diseases
- Z20.1Contact with and (suspected) exposure to tuberculosis
- Z20.2Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
- Z20.3Contact with and (suspected) exposure to rabies
- Z20.4Contact with and (suspected) exposure to rubella
- Z20.5Contact with and (suspected) exposure to viral hepatitis
- Z20.7Contact with and (suspected) exposure to pediculosis, acariasis and other infestations
- Z20.8Contact with and (suspected) exposure to other communicable diseases
- Z20.9Contact with and (suspected) exposure to unspecified communicable disease