How do you code symptomatic STD visits?

For symptomatic STD visits, use specific ICD-10 codes like A54.09 for gonococcal infections.

What is the ICD-10 code for STD screening?

The ICD-10 code for STD screening without symptoms is Z11.3. Use this code for routine screenings when the patient does not present with symptoms.

How do you code symptomatic STD visits?

For symptomatic STD visits, use specific ICD-10 codes like A54.09 for gonococcal infections, based on the confirmed diagnosis.

What is the ICD-10 code for STD screening?

The ICD-10 code for STD screening without symptoms is Z11.3. Use this code for routine screenings when the patient does not present with symptoms.

How do you code symptomatic STD visits?

For symptomatic STD visits, use specific ICD-10 codes like A54.09 for gonococcal infections, based on the confirmed diagnosis.

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ICD-10 Coding for Sexually Transmitted Diseases(A50, A54.09)

Complete ICD-10-CM coding and documentation guide for Sexually Transmitted Diseases. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

STDsSexually Transmitted InfectionsSTIs

Related ICD-10 Code Ranges

Complete code families applicable to Sexually Transmitted Diseases

A50-A64Primary Range

Infections with a predominantly sexual mode of transmission

This range includes all primary codes for sexually transmitted diseases.

Z11.3

Encounter for screening for infections with a predominantly sexual mode of transmission

Used for asymptomatic screening encounters.

Z20.6

Contact with and (suspected) exposure to HIV

Used when there is a known exposure to HIV.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
A50	Congenital syphilis	Use when congenital syphilis is confirmed in a newborn.	Positive serologic test for syphilis in a newborn
A54.09	Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess	Use when gonococcal infection is confirmed in the lower genitourinary tract.	Positive NAAT or culture for Neisseria gonorrhoeae

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for STD screening

Essential facts and insights about Sexually Transmitted Diseases

The ICD-10 code for STD screening without symptoms is Z11.3.

Primary ICD-10-CM Codes for sexually transmitted disease

A50

Congenital syphilis

Non-billable Code

Decision Criteria

clinical Criteria

Confirmed congenital syphilis via serologic testing

Applicable To

Congenital syphilitic infection

Excludes

Acquired syphilis (A51-A53)

Clinical Validation Requirements

Positive serologic test for syphilis in a newborn

Code-Specific Risks

Misclassification if not confirmed by serologic testing

Coding Notes

Ensure documentation specifies congenital origin.

View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

High-risk heterosexual behavior

Z72.51

Use to indicate high-risk sexual behavior context.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Gonococcal infection with periurethral or accessory gland abscess

A54.02

Presence of abscess confirmed by imaging or examination.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Sexually Transmitted Diseases to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A50.

Impact

Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.

Mitigation Strategy

Use specific terminology, Include test results

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on STD prevalence and treatment.

Mitigation Strategy

Use specific STD codes when symptoms are present.

Impact

Using Z11.3 for symptomatic patients.

Mitigation Strategy

Ensure symptoms are documented and appropriate codes are used.

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 Sexually Transmitted Diseases, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Sexually Transmitted Diseases

Use these documentation templates to ensure complete and accurate documentation for Sexually Transmitted Diseases. These templates include all required elements for proper coding and billing.

Asymptomatic STD Screening

Specialty: Primary Care

Required Elements

Patient history
Risk factors
Screening tests ordered

Example Documentation

Patient presents for routine STD screening. No symptoms reported. Screening tests for gonorrhea and chlamydia ordered.

Examples: Poor vs. Good Documentation

Poor Documentation Example

Patient here for STD check.

Good Documentation Example

Patient presents for routine STD screening. Denies symptoms. Reports 2 new sexual partners in past month without condom use.

Explanation

The good example provides context and risk factors, supporting medical necessity.

Need help with ICD-10 coding for Sexually Transmitted Diseases? Ask your questions below.

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ICD-10 Coding for Sexually Transmitted Diseases(A50, A54.09)

Quick Navigation

Related ICD-10 Code Ranges

A50-A64Primary Range

Z11.3

Z20.6

Code Comparison: When to Use Each Code

Clinical Decision Support

Key Information: ICD-10 code for STD screening

Primary ICD-10-CM Codes for sexually transmitted disease

Decision Criteria

clinical Criteria

Applicable To

Excludes

Clinical Validation Requirements

Code-Specific Risks

Coding Notes

A54.09 - Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess

Applicable To

Excludes

Clinical Validation Requirements

Coding Notes

Ancillary Codes

Differential Codes

Documentation & Coding Risks

Vague documentation of STD

Impact

Mitigation Strategy

Using Z11.3 for symptomatic patients

Impact

Mitigation Strategy

Incorrect use of screening codes

Impact

Mitigation Strategy

Frequently Asked Questions

Documentation Templates for Sexually Transmitted Diseases

Asymptomatic STD Screening

Required Elements

Example Documentation

Examples: Poor vs. Good Documentation

Poor Documentation Example

Good Documentation Example

Explanation

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Helpful Links

We build tools for
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