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ICD-10 Coding for Exposure to Venereal Disease(Z20.2)

Complete ICD-10-CM coding and documentation guide for Exposure to Venereal Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Exposure to Sexually Transmitted InfectionsContact with STIs

Related ICD-10 Code Ranges

Complete code families applicable to Exposure to Venereal Disease

Z20-Z29Primary Range

Persons with potential health hazards related to communicable diseases

This range includes codes for exposure to infectious diseases, including sexually transmitted infections.

Special screening examinations for other diseases and disorders

This range includes codes for screening for infectious diseases, including STIs.

Key Information: ICD-10 code for exposure to venereal disease

Essential facts and insights about Exposure to Venereal Disease

The ICD-10 code for exposure to venereal disease is Z20.2, used when a patient has been exposed to an STI but not diagnosed with an infection.

Primary ICD-10-CM Code for exposure to venereal disease

Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
Billable Code

Decision Criteria

clinical Criteria

  • Patient reports exposure to a partner with a confirmed STI.

documentation Criteria

  • Detailed account of the exposure incident is provided.

Applicable To

  • Exposure to sexually transmitted infections

Excludes

  • Confirmed sexually transmitted infections (A50-A64)

Clinical Validation Requirements

  • Documented exposure to a partner with a confirmed STI
  • Details of the exposure incident

Code-Specific Risks

  • Incorrectly using this code as a principal diagnosis

Coding Notes

  • Ensure documentation supports the exposure and any related counseling or screening services.

Ancillary Codes

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

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

Z11.3
Use when screening is performed following exposure.

Human immunodeficiency virus [HIV] counseling

Z71.7
Use for counseling services related to exposure.

Differential Codes

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

Gonococcal infection, unspecified site

A54.9
Use A54.9 for confirmed gonococcal infections, not for exposure.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Exposure to Venereal Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z20.2.

Impact

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

Mitigation Strategy

Train staff on documentation standards, Use templates to ensure completeness

Impact

Reimbursement: Incorrect sequencing may lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data representation of patient encounters.

Mitigation Strategy

Ensure Z20.2 is used as a secondary code when exposure is not the primary reason for the encounter.

Impact

Inadequate documentation of exposure details can lead to audit findings.

Mitigation Strategy

Implement thorough documentation practices and regular audits.

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 Exposure to Venereal Disease, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Exposure to Venereal Disease

Use these documentation templates to ensure complete and accurate documentation for Exposure to Venereal Disease. These templates include all required elements for proper coding and billing.

Urgent Care Visit for STI Exposure

Specialty: Urgent Care

Required Elements

  • Exposure details
  • Partner's STI status
  • Requested services (e.g., prophylaxis, screening)

Example Documentation

Patient reports unprotected intercourse with a partner diagnosed with gonorrhea. Requests prophylaxis. Ordered NAAT for chlamydia and gonorrhea.

Examples: Poor vs. Good Documentation

Poor Documentation Example
STD exposure – test needed.
Good Documentation Example
Patient reports unprotected intercourse with partner diagnosed with chlamydia. Requests post-exposure prophylaxis. NAAT ordered.
Explanation
The good example provides specific exposure details and the clinical intent, supporting the use of Z20.2.

Need help with ICD-10 coding for Exposure to Venereal Disease? Ask your questions below.

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