Sexually Transmitted Disease Awareness

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

Facebook
Twitter
LinkedIn

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS

Gloryanne is an HIM coding professional and leader with more than 40 years of experience. She has an RHIA, CDIP, CCS, and a CCDS. For the past six years she has been a regular speaker and contributing author for ICD10monitor and Talk Ten Tuesdays. She has conducted numerous educational programs on ICD-10-CM/PCS and CPT coding and continues to do so. Ms. Bryant continues to advocate for compliant clinical documentation and data quality. She is passionate about helping healthcare have accurate and reliable coded data.

Related Stories

Coders Beware: Newly Updated Overpayment Refund Rule

Coders Beware: Newly Updated Overpayment Refund Rule

The Centers for Medicare & Medicaid Services (CMS) have issued the display copy of the Final Rule interpreting the 60-day Refund Rule for Medicare Parts A/B (Traditional

Read More

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Decoding 2025 OPPS Charge Capture and Coding Complexities: Strategies for Success

Decoding 2025 OPPS Charge Capture and Coding Complexities: Strategies for Success

Prepare your organization for the 2025 OPPS updates with expert insights from Tiffani Bouchard, CCS, CRCR, a Revenue Integrity Professional with over 30 years of experience. This webcast will address critical challenges in charge capture and coding, providing clarity on APC policies, C-APC packaging, exclusions, and payer-specific requirements. Attendees will learn actionable strategies to ensure compliance, optimize reimbursement, and mitigate risks of claim denials. Gain the knowledge needed to implement updates effectively, educate your team, and maintain seamless revenue cycle operations in the face of evolving OPPS complexities.

January 29, 2025
Enhancing Outcomes with CDI-Coding-Quality Collaboration in Acute Care Hospitals

Enhancing Outcomes with CDI-Coding-Quality Collaboration in Acute Care Hospitals

Join Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, as she presents effective strategies to strengthen collaboration between CDI, coding, and quality departments in acute care hospitals. Angela will also share guidance on implementing cross-departmental meetings, using shared KPIs, and engaging leadership to foster a culture of collaboration. Attendees will gain actionable tools to optimize documentation accuracy, elevate quality metrics, and drive a unified approach to healthcare goals, ultimately enhancing both patient outcomes and organizational performance.

November 21, 2024
Comprehensive Inpatient Clinical Documentation Integrity: From Foundations to Advanced Strategies

Comprehensive Outpatient Clinical Documentation Integrity: From Foundations to Advanced Strategies

Optimize your outpatient clinical documentation and gain comprehensive knowledge from foundational practices to advanced technologies, ensuring improved patient care and organizational and financial success. This webcast bundle provides a holistic approach to outpatient CDI, empowering you to implement best practices from the ground up and leverage advanced strategies for superior results. You will gain actionable insights to improve documentation quality, patient care, compliance, and financial outcomes.

September 5, 2024

Trending News

Featured Webcasts

Navigating the 2025 Medicare Physician Fee Schedule: Key Changes and Strategies for Success

Navigating the 2025 Medicare Physician Fee Schedule: Key Changes and Strategies for Success

The 2025 Medicare Physician Fee Schedule brings significant changes to payment rates, coverage, and coding for physician services, impacting practices nationwide. Join Stanley Nachimson, MS., as he provides a comprehensive guide to understanding these updates, offering actionable insights on new Medicare-covered services, revised coding rules, and payment policies effective January 1. Learn how to adapt your practices to maintain compliance, maximize reimbursement, and plan for revenue in 2025. Whether you’re a physician, coder, or financial staff member, this session equips you with the tools to navigate Medicare’s evolving requirements confidently and efficiently.

January 21, 2025
Patient Notifications and Rights: What You Need to Know

Patient Notifications and Rights: What You Need to Know

Dr. Ronald Hirsch provides critical details on the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He also delves into other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notifications may be needed along with the processes necessary to ensure compliance with state and federal guidance.

December 5, 2024
Navigating the No Surprises Act & Price Transparency: Essential Insights for Compliance

Navigating the No Surprises Act & Price Transparency: Essential Insights for Compliance

Healthcare organizations face complex regulatory requirements under the No Surprises Act and Price Transparency rules. These policies mandate extensive fee disclosures across settings, and confusion is widespread—many hospitals remain unaware they must post every contracted rate. Non-compliance could lead to costly penalties, financial loss, and legal risks.  Join David M. Glaser Esq. as he shows you how to navigate these regulations effectively.

November 19, 2024
Post Operative Pain Blocks: Guidelines, Documentation, and Billing to Protect Your Facility

Post Operative Pain Blocks: Guidelines, Documentation, and Billing to Protect Your Facility

Protect your facility from unwanted audits! Join Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, and take a deep dive into both the CMS and AMA guidelines for reporting post operative pain blocks. You’ll learn how to determine if the nerve block is separately codable with real life examples for better understanding. Becky will also cover how to evaluate whether documentation supports medical necessity, offer recommendations for stronger documentation practices, and provide guidance on educating providers about documentation requirements. She’ll include a discussion of appropriate modifier and diagnosis coding assignment so that you can be confident that your billing of post operative pain blocks is fully supported and compliant.

October 24, 2024

Trending News

Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more

Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24