2026 ICD-10-CM Diagnosis Code Z11.4Encounter for screening for human immunodeficiency virus [HIV]

ICD-10-CM Codes›Z00–Z99›Z00-Z13›Z11

ICD-10-CM Z11.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z11.4 is a billable ICD-10-CM diagnosis code for encounter for screening for human immunodeficiency virus [HIV]. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Exposure, encounters, screening or contact with infectious disease.

Code Identity

ICD-10-CM Code
Z11.4
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for screening for human immunodeficiency virus [HIV]
Short Description
Encounter for screening for human immunodeficiency virus
Parent Code
Z11
Encounter for screening for infectious and parasitic diseases

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ00-Z13Persons encountering health services for examinations
CategoryZ11Encounter for screening for infectious and parasitic diseases
This CodeZ11.4Encounter for screening for human immunodeficiency virus [HIV]

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z11.4.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z11.4 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Screening(for)
      • disease or disorder
        • human immunodeficiency virus (HIV) infection
    • Screening(for)
      • disease or disorder
        • sexually-transmitted NEC
          • human immunodeficiency virus (HIV)
    • Screening(for)
      • disease or disorder
        • viral NEC
          • human immunodeficiency virus (HIV)
    • Screening(for)
      • human immunodeficiency virus (HIV)
    • Screening(for)
      • sexually-transmitted disease NEC
        • human immunodeficiency virus (HIV)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC016
Exposure, encounters, screening or contact with infectious disease
Default principal diagnosis: inpatient No · outpatient Yes

Patient EducationClinical

HIV Screening Test

An HIV test checks a sample of your blood, saliva (spit), or urine (pee) to see whether you are infected with HIV (human immunodeficiency virus). HIV is a virus that destroys certain cells in your immune system. These cells protect your body against diseases from germs, such as bacteria, viruses, and fungi.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z11.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V73.89 Scrn oth spcf viral dis
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z11.4Overview

Is Z11.4 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for screening for human immunodeficiency virus [HIV] on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z11.4 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because encounter for screening for human immunodeficiency virus [HIV] describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z11.4 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for encounter for screening for human immunodeficiency virus [HIV] on inpatient claims.

What is the ICD-9 equivalent of Z11.4?

Under the General Equivalence Mappings, encounter for screening for human immunodeficiency virus [HIV] converts to ICD-9-CM V73.89 (scrn oth spcf viral dis). The mapping is approximate, so confirm the match fits the documentation.