ICD-10 Coding for Condyloma Acuminatum(A63.0)
Complete ICD-10-CM coding and documentation guide for Condyloma Acuminatum. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Condyloma Acuminatum
A63-A64Primary Range
Other predominantly sexually transmitted diseases
This range includes anogenital warts, specifically condyloma acuminatum, which is primarily coded under A63.0.
Key Information: ICD-10 code for condyloma acuminatum
Essential facts and insights about Condyloma Acuminatum
Primary ICD-10-CM Code for condyloma acuminatum
Decision Criteria
clinical Criteria
- Presence of anogenital lesions with HPV confirmation.
coding Criteria
- Excludes conditions like molluscum contagiosum and cervical papilloma.
Applicable To
- Condyloma acuminatum
- Venereal warts
Clinical Validation Requirements
- Biopsy showing koilocytosis
- HPV types 6/11 confirmed
- Lesions in anogenital regions
Code-Specific Risks
- Incorrectly coding without HPV confirmation
- Missing Excludes2 conditions
Coding Notes
- Ensure HPV confirmation is documented to support A63.0 coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Papillomavirus as the cause of diseases classified elsewhere
B97.7Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Condyloma Acuminatum to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A63.0.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Denial of insurance claims.
Mitigation Strategy
Always confirm HPV status before coding., Educate staff on documentation standards.
Impact
Reimbursement: Potential denial of claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate health records and statistics.
Mitigation Strategy
Ensure HPV is confirmed through biopsy or PCR testing.
Impact
Coding A63.0 without documented HPV confirmation.
Mitigation Strategy
Implement mandatory HPV testing documentation.
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 Acuminatum, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Condyloma Acuminatum
Use these documentation templates to ensure complete and accurate documentation for Condyloma Acuminatum. These templates include all required elements for proper coding and billing.
Biopsy-confirmed condyloma acuminatum
Specialty: DermatologyRequired Elements
- Lesion description
- Biopsy results
- HPV type confirmation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Condyloma Acuminatum? Ask your questions below.