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July 2009 · Vol. 21, No. 07

REIMBURSEMENT ADVISER

ACOG guidelines for HIV screening don’t always acknowledge coding reality

The College urges “opt-out” screening—but many states require that, even then, you counsel the patient and have her sign a consent form


Fast Track

General consent for medical care should be adequate to encompass HIV testing, the CDC says—making separate written consent unneeded

IN THIS ARTICLE

Select 1 of 3 available dx codes

What constitutes “routine” testing?

In some settings, repeat the screen in the 3rd trimester

Melanie  Witt,  RN, CPC, COBGC, MA

Ms. Witt is an independent coding and documentation consultant and former program manager, department of coding and nomenclature, American College of Obstetricians and Gynecologists.

The author reports no financial relationships relevant to this article.

Routine screening for the human immunodeficiency virus (HIV) is recommended for all women 19 to 64 years old, according to guidelines issued in August 2008 by the American College of Obstetricians and Gynecologists (ACOG). In addition, ACOG recommends that women outside that age range who have a risk factor for HIV infection undergo targeted screening.

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