Wiki 99212 for "Routine" STI Screening?

[gretchen.radzanowski]

Hi! This is a question that has been floating around my office as of late.

I code for an urgent care and occasionally we'll have a patient who needs to be seen for a "routine" STI screening. No signs or symptoms. No relevant history. Patient does not *admit* to any associated risk factors (confirmed/suspected exposure, unprotected sex, needle jab, etc.) Like, truly nothing.

I've looked at other codes outside of the standard office visit codes such as 99401-99404 & 99000 and I don't believe those are quite right either (based on our providers' documentation at least)
Just curious if others see this type of visit and if so -- especially in the absence of medical necessity -- how would you/your workplace code it? Do you reject the encounter? 99212 with a Z- screening code?

Thanks! Hope everyone is having a nice week

 

[TThivierge]

Gretchen
Evl mgn CPT codes are ok and provider probably add lab cpt code too. CPT 99401 series can be used if counseling given on behavior regarding STD especially if pt has had it before but depends on how provider documents plus add minutes he talked about such STD illness 5 to 10 minutes... Ahh once find the lab results, code the infection first(ie B37.92, A06.8 A54.23 A60.01 Etc) then Z code such as z13.89, Z11.3, Z11.51 or Z11.4 if HIV related. However if pt has symptoms code this then the related Z11.3 if searching for STD. Symptoms can be first dx code such as for men or women rash R21 or itching dx L29 or urine irritation dx N39 or R93 but support by provider s notes. Cervical or penial smears can be used Z01.42 or dx R87 (females) dx R86 (male) if abnormal. Inflammatory of penis check out dx blocks of N48.89, N50.8 N49.9.If female check out N49.89, N88.8 or N90.9. Always sue Z dx code last related to this situation.
I hope helped you
Lady T