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Home/Diagnosis/ICD-10 Coding for High-Risk Sexual Behavior

ICD-10 Coding for High-Risk Sexual Behavior

Z72.51
Z72.52
Z72.53

Complete ICD-10-CM coding and documentation guide for icd-10 coding for high-risk sexual behavior includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Risky Sexual Practices
Unsafe Sexual Behavior
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Key Information: ICD-10 Coding for High-Risk Sexual Behavior

Essential facts and insights about ICD-10 Coding for High-Risk Sexual Behavior

Use ICD-10 code Z72.51 for high-risk heterosexual behavior, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

High-risk heterosexual behavior

Billable Code
Z72.51
Billable

Diagnostic Criteria

  • • Patient reports multiple opposite-sex partners and inconsistent condom use.

Applicable To

  • • Multiple opposite-sex partners
  • • Condom non-use

Important Notes

  • • Ensure documentation includes specific behaviors and partner details.

High-risk homosexual behavior

Billable Code
Z72.52
Billable

Diagnostic Criteria

  • • Documented anal sex with multiple partners
  • • PrEP prescription

Applicable To

  • • Multiple same-sex partners
  • • Anal sex without protection

Important Notes

  • • Ensure documentation includes specific sexual practices and partner details.

High-risk bisexual behavior

Billable Code
Z72.53
Billable

Diagnostic Criteria

  • • Documented concurrent male/female partners
  • • Substance use linked to sexual activity

Applicable To

  • • Concurrent male and female partners
  • • Substance use during sex

Important Notes

  • • Ensure documentation includes specific partner and substance use details.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z11.3

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

Use when screening for STIs in conjunction with high-risk behavior.

Z79.899

Other long term (current) drug therapy

Use when prescribing PrEP alongside high-risk behavior.

Z20.6

Contact with and (suspected) exposure to HIV

Use when there is a risk of HIV exposure due to high-risk behavior.

Frequently Asked Questions

What is the ICD-10 code for high-risk sexual behavior?

The ICD-10 codes for high-risk sexual behavior are Z72.51 for heterosexual, Z72.52 for homosexual, and Z72.53 for bisexual behavior.

How to document high-risk sexual behavior?

Document the exact number of partners, type of sexual activity, protection use, and any substance use during encounters to ensure accurate coding.

Why is specific documentation important for high-risk sexual behavior?

Specific documentation supports accurate coding, ensures appropriate treatment, and prevents claim denials.

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