When the impairment code for symptomatic HIV (0430) is recorded in the Primary Diagnosis
block of the SSA-831 (Item 16A), SSA-832 (Item 21), or SSA-833 (Item 21), use the
appropriate code from the table below to identify the manifestation of HIV in the
Secondary Diagnosis block (Item 16B of the SSA-831, or Item 22 of the SSA-832 or SSA-833).
Do not use the codes in this table in the Primary Diagnosis block of the SSA-831,
SSA-832, or SSA-833.
Secondary Impairment Codes for Symptomatic HIV Infection
Impairment Descriptor
|
Impairment Code
|
Absolute CD4 Count 50 or Less
|
7950
|
Cancer of Cervix
|
1800
|
Microcephaly
|
7420
|
Multicentric Castleman Disease
|
2380
|
Opportunistic Infections Associated with HIV Infection
|
*1390
|
Primary Effusion Lymphoma
|
2000
|
Progressive Multifocal Leukoencephalopathy
|
0460
|
Pulmonary Kaposi Sarcoma
|
1760
|
Pulmonary Lymphoid Hyperplasia (PLH)
|
2850
|