ICD-10-CM 2027 diagnosis code
R75Inconclusive laboratory evidence of human immunodeficiency virus [HIV]
R75 is a valid, billable ICD-10-CM code for inconclusive laboratory evidence of human immunodeficiency virus [hiv]. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Inconclusive laboratory evidence of human immunodef virus
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About R75
R75 is the ICD-10-CM diagnosis code for inconclusive laboratory evidence of human immunodeficiency virus [HIV]. It belongs to block R70-R79 (abnormal findings on examination of blood, without diagnosis) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Don't report R75 together with the conditions in its Excludes1 note: asymptomatic human immunodeficiency virus [HIV] infection status (Z21) and human immunodeficiency virus [HIV] disease (B20).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 814 (Reticuloendothelial and Immunity Disorders with MCC, relative weight 2.0729), DRG 815 (Reticuloendothelial and Immunity Disorders with CC, relative weight 1.0444) and DRG 816 (Reticuloendothelial and Immunity Disorders without CC/MCC, relative weight 0.7381), in MDC 16 (Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 795.71 (nonspecific serologic evidence of human immunodeficiency virus [HIV]).
Coding notes
Notes that apply from higher levels
Instructions written at a parent level also apply to R75.
Broader instructions also apply from R70-R79 Abnormal findings on examination of blood, without diagnosis and Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified.
Alphabetic index entries
5 entriesTerms in the official ICD-10-CM index that lead to R75.
Codes whose notes reference R75
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 16 · Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders
ICD-9-CM equivalent
Converter →- 795.71Nonspecific serologic evidence of human immunodeficiency virus [HIV]approximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about R75
Is R75 billable?
- Yes. R75 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can R75 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict R75 as a principal diagnosis.
Is R75 a CC or MCC?
- No. R75 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does R75 group to?
- R75 is used in the MS-DRG v44.0 logic for MS-DRG 814 (Reticuloendothelial and Immunity Disorders with MCC), MS-DRG 815 (Reticuloendothelial and Immunity Disorders with CC) and MS-DRG 816 (Reticuloendothelial and Immunity Disorders without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for R75?
- The CMS General Equivalence Mappings map R75 to ICD-9-CM 795.71.