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Z29.81 Billable Code

Encounter for HIV pre-exposure prophylaxis

Effective From: 10/01/2023

Chapter Classification

Chapter 21 Factors influencing health status and contact with health services (Z00-Z99)

Section Detail

Z20-Z29 Persons with potential health hazards related to communicable diseases (Z20-Z29)

Code Hierarchy

This code is a child of Z29.8.

Coding Guidelines & Notes

codeAlso
  • , if applicable, risk factors for HIV, such as:
  • contact with and (suspected) exposure to human immunodeficiency virus [HIV] (Z20.6)
  • high risk sexual behavior (Z72.5-)

OPPS Editing Flags

External Cause No
Mental Health No
Manifestation (Edit 89) No
Code First Applicable ?This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis. No
Unacceptable PDX (Edit 113) Yes
PDX Exclusion Logic
  • OPPS Required: Yes
  • Bill Type Override: No

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