ICD-10 Coding for Sexually Transmitted Disease Exposure(Z20.2)
Complete ICD-10-CM coding and documentation guide for Sexually Transmitted Disease Exposure. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sexually Transmitted Disease Exposure
Z20-Z29Primary Range
Persons with potential health hazards related to communicable diseases
This range includes codes for contact with and exposure to communicable diseases, including sexually transmitted diseases.
Key Information: ICD-10 code for STD exposure
Essential facts and insights about Sexually Transmitted Disease Exposure
Primary ICD-10-CM Code for sexually transmitted disease exposure
Decision Criteria
clinical Criteria
- Patient reports exposure to a partner with a confirmed STI.
documentation Criteria
- Detailed documentation of the exposure event and partner's diagnosis.
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
- Patient's report of high-risk sexual behavior
Code-Specific Risks
- Cannot be used as a principal diagnosis if a confirmed infection is present.
Coding Notes
- Ensure documentation specifies the type of exposure and the partner's confirmed diagnosis.
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
Z11.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Sexually Transmitted Disease Exposure 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: Increased risk of audit queries., Financial: Potential for claim denials due to insufficient documentation.
Mitigation Strategy
Ensure detailed documentation of exposure events., Verify partner's diagnosis with lab results.
Impact
Reimbursement: Incorrect sequencing may lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use the confirmed infection code as the principal diagnosis and Z20.2 as a secondary code.
Impact
Using Z20.2 as a principal diagnosis when a confirmed infection is present.
Mitigation Strategy
Educate coding staff on correct sequencing rules.
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 Disease Exposure, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sexually Transmitted Disease Exposure
Use these documentation templates to ensure complete and accurate documentation for Sexually Transmitted Disease Exposure. These templates include all required elements for proper coding and billing.
Patient exposed to partner with confirmed STI
Specialty: Primary CareRequired Elements
- Exposure details
- Partner's diagnosis
- Patient's symptoms
- Planned interventions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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