Claims for STI screening should include the appropriate screening diagnosis code, such as ICD-10-CM code Z11.3 Encounter for screening for infections with a predominantly sexual mode of transmission (ICD-9-CM code V74.5 Screening examination for venereal disease) or Z11.59 Encounter for screening for other viral diseases (ICD-9-CM V73.89 Special screening examination for other specified viral diseases) with the screening lab tests.
sexually-transmitted disease NEC Z11.3; gonorrhea Z11.3; syphilis Z11.3; venereal disease Z11.3; Test, tests, testing (for) Wassermann Z11.3
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
CPT 87491, 87591 – sexually transmitted infection – STI screening
ICD-10-CM Code for Encounter for preprocedural laboratory examination Z01. 812.
Encounter for screening for infections with a predominantly sexual mode of transmission. Z11. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
From ICD-10: For encounters for routine laboratory/radiology testing in the absence of any signs, symptoms, or associated diagnosis, assign Z01. 89, Encounter for other specified special examinations.
This policy describes reimbursement for Infectious agent detection by nucleic acid (DNA or RNA) assays for the detection of Sexually Transmitted Infections (STI), represented by CPT codes 87491, 87591, 87661, or 87801, and submitted for reimbursement on professional and facility claim forms.
ICD-10 code Z11. 3 for Encounter for screening for infections with a predominantly sexual mode of transmission is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Vaginal Pap test (Z12. 72) Pap test other genitourinary sites (Z12. 79)
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
Blood pressure, diabetes, and cholesterol tests. Many cancer screenings, including mammograms and colonoscopies. Counseling on such topics as quitting smoking, losing weight, eating healthfully, treating depression, and reducing alcohol use.
NCD 190.15 In some patients presenting with certain signs, symptoms or diseases, a single CBC may be appropriate.
Coding Requirements: Chlamydia Screening CPT Codes: 87110, 87270, 87320, 87490, 87491, 87492, 87810 See the full list of chlamydia screening LOINC and SNOMED codes, and Exclusion codes in the CBI Technical Specifications.
For claims for screening for syphilis in pregnant women at increased risk for STIs use the following ICD-10-CM diagnosis codes: • Z11. 3 - Encounter for screening for infections with a predominantly sexual mode of transmission; • and any of: Z72.
CPT Code(s): 87491.
Z53.09 Procedure and treatment not carried out because of other contraindication. Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure. Z53.2 Procedure and treatment not carried out because of patient's decision for other and unspecified reasons.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways: