Updated on: May 14, 2018

Sexually Transmitted Disease Awareness

By
Original story posted on: May 7, 2018

CMS encourages providers to talk, test, and treat STDs.

When it comes to sexually transmitted disease (STD) awareness, the Centers for Medicare & Medicaid Services (CMS) is encouraging providers to take three simple steps in protecting their patients through talk, testing, and treating:

  1. Talk openly about STDs with your partners and healthcare providers.

  2. Get tested: it’s the only way to know if you have an STD.

  3. Treat, if you have an STD, and work with your provider to get the right medicine.

The Centers for Disease Control and Prevention (CDC) has also published information indicating that STDs are at an all-time high. In 2017 there were:

  • 1.59 million chlamydia cases (up 4.7 percent since 2015)

  • 468,514 gonorrhea cases (up 18.5 percent since 2015)

  • 27,814 syphilis cases (up 17.6 percent since 2015)

Anyone who has sex is at risk for STDs, but the following groups are more affected:

  1. Young people ages 15-24

  2. Gay and bisexual men

  3. Pregnant women

Most STDs affect both men and women, but in many cases the health problems they cause can be more severe for women. If a pregnant woman has an STD, it can cause serious health problems for the baby.

CMS recommends appropriate Medicare-covered preventive services be utilized, including:

  • Screening for sexually transmitted infections (STIs) and high-intensity behavioral counseling to prevent STIs  

  • Human immunodeficiency virus (HIV) screening

  • Hepatitis B virus vaccine administration

You will find the diagnosis codes for sexually transmitted diseases in Chapter 1: Infectious and Parasitic Diseases, with the code category block A50-A64 covering infections with a predominantly sexual mode of transmission. There a Type 1 Excludes note listed also:

  • Human immunodeficiency virus (HIV) disease (B20)

  • Nonspecific and nongonococcal urethritis (N34.1)

  • Reiter's disease (M02.3-)

In looking at the Tabular list of Code Blocks, the following can be found:

A50   Congenital syphilis
 
A51   Early syphilis
 
A52   Late syphilis
 
A53   Other and unspecified syphilis
 
A54   Gonococcal infection
 
A55   Chlamydial lymphogranuloma (venereum)
 
A56   Other sexually transmitted chlamydial diseases
 
A57   Chancroid
 
A58   Granuloma inguinale
 
A59   Trichomoniasis
 
A60   Anogenital herpesviral (herpes simplex) infections
 
A63   Other predominantly sexually transmitted diseases, not elsewhere classified
 
A64   Unspecified sexually transmitted disease
 

Another code that may be helpful to be aware of is Z11.3, Encounter for screening for infections with a predominantly sexual mode of transmission.

There are no chapter 1-specific guidelines regarding the code range A50-A64. However, all coding professionals should be reading through the American Hospital Association (AHA) Coding Clinic on ICD-10-CM to receive additional guidance on the coding of sexually transmitted diseases that may have been published. 

Striving for coding accuracy, integrity, and compliance always requires a complete understanding of the disease process, plus the Official Guidelines for Coding and Reporting.


Comment on this article

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.
Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA-Approved ICD-10-CM/PCS Trainer

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA-Approved ICd-10-CM/PCS Trainer, is a 40-year HIM coding professional, focusing on compliance and ethics. She is a member of the ICD10monitor editorial board, and a popular panelist on Talk Ten Tuesdays.

Related Stories

  • National Coding Contest Raises Serious Industry Questions
    Contest indicates coding accuracy is below expectations. Central Learning is a web-based coding assessment and education application. Since 2016, the company has conducted an annual national coding contest to measure ICD-10 coding accuracy and production. The initial premise was to…
  • UPMC versus Highmark – Can UPMC Pop Champagne Corks?
    The saga continues between UPMC hospitals and Highmark. UPMC reported revenue of $5.1 billion in the quarter ending March 31, 2019, up 10 percent from the $4.6 billion reported in the first quarter of last year. At the same time,…
  • CMS Proposed Rules Will Impact SNFs and Hospice Providers
    Proposed rules also include new payment models. The Centers for Medicare & Medicaid Services (CMS) has been quite busy these last few weeks issuing the proposed payment rules for 2020 and making some other announcements.  Here is an update on…