Complete ICD-10-CM coding and documentation guide for icd-10 coding for penile discharge includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Penile Discharge
Use ICD-10 code R36.0 for urethral discharge without blood, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Encounter for screening for infections with a predominantly sexual mode of transmission
Use when screening for STIs is performed.
The ICD-10 code for unspecified penile discharge is R36.9, while R36.0 is used for non-bloody discharge. Specific codes like A54.09 are used for confirmed infections.
Document penile discharge by noting its color, consistency, presence of blood, and any associated symptoms. Include sexual history and lab results for accurate coding.