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Annual exam with screening test for sti code z11.3

  1. Default Annual exam with screening test for sti code z11.3
    Medical Coding Books
    Please help i have read the guidelines in icd-10 about 10 time and i can not find the answer. Patient comes for an annual exam z00.00 or z01.419 and the provider orders sti test. In icd-9 we used v74.5 screening for sexually transmitted disease. In icd-10 i used z11.3 encounter screening for infection with a predominantly sexual mode of transmission. Bcbs denied claim stating it is not a medical diagnosis. We see a lot of patients for screening sti's with no signs or symptoms. Please help me with correct coding for this process.

  2. #2
    Columbia, MO
    It may be that the carrier does not cover screening for STI. In which case it is patient responsibility. Also you may consider adding the code for high risk sexual behavior if applicable.

    Debra A. Mitchell, MSPH, CPC-H

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