2023 ICD-10-CM Diagnosis Code Z11.4

Encounter for screening for human immunodeficiency virus [HIV]

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • Z11.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Encounter for screening for human immunodeficiency virus
  • The 2023 edition of ICD-10-CM Z11.4 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z11.4 - other international versions of ICD-10 Z11.4 may differ.
The following code(s) above Z11.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z11.4:
  • Z00-Z99
    2023 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z00-Z13
    2023 ICD-10-CM Range Z00-Z13

    Persons encountering health services for examinations

    Note
    • Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
    Type 1 Excludes
    • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
    Persons encountering health services for examinations
  • Z11
    ICD-10-CM Diagnosis Code Z11

    Encounter for screening for infectious and parasitic diseases

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
    Type 1 Excludes
    • encounter for diagnostic examination-code to sign or symptom
    Encounter for screening for infectious and parasitic diseases
Approximate Synonyms
  • Screening for hiv
  • Screening for human immunodeficiency virus
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z11.4 is considered exempt from POA reporting.
ICD-10-CM Z11.4 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 951 Other factors influencing health status

Convert Z11.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to Z11.4:
  • Type 2 Excludes: Z11.3
    ICD-10-CM Diagnosis Code Z11.3

    Encounter for screening for infections with a predominantly sexual mode of transmission

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    Type 2 Excludes
    • encounter for screening for human immunodeficiency virus [HIV] (Z11.4)
    • encounter for screening for human papillomavirus (Z11.51)

Diagnosis Index entries containing back-references to Z11.4:
  • Screening (for) Z13.9
    ICD-10-CM Diagnosis Code Z13.9

    Encounter for screening, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • disease or disorder Z13.9
      ICD-10-CM Diagnosis Code Z13.9

      Encounter for screening, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
      • sexually-transmitted NEC Z11.3
        ICD-10-CM Diagnosis Code Z11.3

        Encounter for screening for infections with a predominantly sexual mode of transmission

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
        Type 2 Excludes
        • encounter for screening for human immunodeficiency virus [HIV] (Z11.4)
        • encounter for screening for human papillomavirus (Z11.51)
        • human immunodeficiency virus Z11.4 (HIV)
      • viral NEC Z11.59
        ICD-10-CM Diagnosis Code Z11.59

        Encounter for screening for other viral diseases

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
        • human immunodeficiency virus Z11.4 (HIV)
      • human immunodeficiency virus Z11.4 (HIV)
    • sexually-transmitted disease NEC Z11.3
      ICD-10-CM Diagnosis Code Z11.3

      Encounter for screening for infections with a predominantly sexual mode of transmission

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
      Type 2 Excludes
      • encounter for screening for human immunodeficiency virus [HIV] (Z11.4)
      • encounter for screening for human papillomavirus (Z11.51)
      • human immunodeficiency virus Z11.4 (HIV)
    • human immunodeficiency virus Z11.4 (HIV)

ICD-10-CM Codes Adjacent To Z11.4
Z05.73 Observation and evaluation of newborn for suspected connective tissue condition ruled out
Z05.8 Observation and evaluation of newborn for other specified suspected condition ruled out
Z05.9 Observation and evaluation of newborn for unspecified suspected condition ruled out
Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm
Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z11 Encounter for screening for infectious and parasitic diseases
Z11.0 Encounter for screening for intestinal infectious diseases
Z11.1 Encounter for screening for respiratory tuberculosis
Z11.2 Encounter for screening for other bacterial diseases
Z11.3 Encounter for screening for infections with a predominantly sexual mode of transmission
Z11.4 Encounter for screening for human immunodeficiency virus [HIV]
Z11.5 Encounter for screening for other viral diseases
Z11.51 Encounter for screening for human papillomavirus (HPV)
Z11.52 Encounter for screening for COVID-19
Z11.59 Encounter for screening for other viral diseases
Z11.6 Encounter for screening for other protozoal diseases and helminthiases
Z11.7 Encounter for testing for latent tuberculosis infection
Z11.8 Encounter for screening for other infectious and parasitic diseases
Z11.9 Encounter for screening for infectious and parasitic diseases, unspecified
Z12 Encounter for screening for malignant neoplasms
Z12.0 Encounter for screening for malignant neoplasm of stomach

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.