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ICD-10 Guide
ICD-10 CodesA64

A64

Unspecified sexually transmitted disease, unspecified site

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A64 is a billable code used to indicate a diagnosis of unspecified sexually transmitted disease, unspecified site.

Key Diagnostic Point:

A64 is used to classify unspecified sexually transmitted diseases (STDs) when the specific type of infection is not identified. This code encompasses a range of infections that can affect the genital and urogenital areas, including but not limited to bacterial, viral, and parasitic infections. Common STDs include chlamydia, gonorrhea, syphilis, herpes, and human immunodeficiency virus (HIV). Symptoms may vary widely, from asymptomatic cases to severe manifestations such as genital lesions, discharge, and systemic symptoms. The lack of specificity in this code necessitates careful clinical evaluation and testing to determine the exact nature of the infection. Screening protocols typically involve a thorough patient history, physical examination, and laboratory tests, including nucleic acid amplification tests (NAATs) for bacterial STDs and serological tests for viral infections. Accurate coding is crucial for appropriate treatment and public health reporting, as STDs can have significant implications for reproductive health and transmission risk.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity in the diagnosis
  • Variability in clinical presentation
  • Need for comprehensive patient history and testing
  • Potential overlap with other conditions

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to perform necessary laboratory tests
  • Misuse of the unspecified code when a specific diagnosis is available
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients presenting with symptoms of STDs, such as genital lesions or discharge.

Billing Considerations

Ensure all relevant tests are documented to support the use of A64.

Urology

Documentation Requirements

Comprehensive evaluation of urogenital symptoms, including urinalysis and imaging if necessary.

Common Clinical Scenarios

Men presenting with dysuria or pelvic pain potentially related to STDs.

Billing Considerations

Document any differential diagnoses to justify the use of A64.

Coding Guidelines

Inclusion Criteria

Use A64 When
  • According to ICD
  • 10 coding guidelines, A64 should be used when the specific STD is not identified
  • Coders must ensure that all documentation supports the use of this code and that it is not used when a more specific diagnosis is available

Exclusion Criteria

Do NOT use A64 When
No specific exclusions found.

Related CPT Codes

87491CPT Code

Chlamydia and gonorrhea testing

Clinical Scenario

Used when testing for STDs in patients with symptoms.

Documentation Requirements

Document the reason for testing and any relevant patient history.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing is performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of STDs, but A64 remains a catch-all for unspecified cases. This can lead to challenges in tracking disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of STDs, but A64 remains a catch-all for unspecified cases. This can lead to challenges in tracking disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of STDs, but A64 remains a catch-all for unspecified cases. This can lead to challenges in tracking disease prevalence and treatment outcomes.

Resources

Clinical References

  • •
    CDC STD Treatment Guidelines

Coding & Billing References

  • •
    CDC STD Treatment Guidelines

Frequently Asked Questions

When should I use code A64?

Use A64 when a patient presents with symptoms of a sexually transmitted disease, but the specific infection has not been identified through testing.