Z29.81

Billable code

Encounter for HIV pre-exposure prophylaxis

The ICD-10 code for encounter for hiv pre-exposure prophylaxis is Z29.81.

Clinical notes

Code also

Two codes may be needed to fully describe a condition, but unlike Code First/Use Additional Code, the sequencing order is not mandated by convention.

, 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-)

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

•As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

Related codes in this category

Z29.89Encounter for other specified prophylactic measures
Z29.81Encounter for HIV pre-exposure prophylaxis

Associated MS-DRGs

Z29.81 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.