ICD-10 Coding for Condyloma Acuminata(A63.0)
Complete ICD-10-CM coding and documentation guide for Condyloma Acuminata. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Condyloma Acuminata
Key Information: ICD-10 code for condyloma acuminata
Essential facts and insights about Condyloma Acuminata
Primary ICD-10-CM Code for condyloma acuminata
Decision Criteria
clinical Criteria
- Presence of anogenital warts confirmed by HPV testing
documentation Criteria
- Specific mention of 'condyloma acuminata' in medical records
Applicable To
- Condyloma acuminatum
- Anogenital warts
Clinical Validation Requirements
- HPV confirmation via PCR or biopsy
- Documentation of 'condyloma acuminata' or 'anogenital warts'
Code-Specific Risks
- Incorrectly coding non-anogenital warts as A63.0
- Missing documentation of HPV confirmation
Coding Notes
- Ensure documentation specifies the anogenital location and confirms HPV involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified counseling
Z71.89Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other viral warts
B07.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Condyloma Acuminata to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A63.0.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Ensure HPV testing is documented., Include test results in the patient's record.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data and statistics.
Mitigation Strategy
Verify the location of the warts and use B07.8 for non-anogenital locations.
Impact
Lack of documented HPV confirmation increases audit risk.
Mitigation Strategy
Ensure all cases of condyloma acuminata have documented HPV test results.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Condyloma Acuminata, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Condyloma Acuminata
Use these documentation templates to ensure complete and accurate documentation for Condyloma Acuminata. These templates include all required elements for proper coding and billing.
Routine Dermatology Visit
Specialty: DermatologyRequired Elements
- Location of lesions
- Morphology and size
- HPV test results
- Patient sexual history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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