Z11.3 — Encounter for screening for infections with a predominantly sexual mode of transmission
Z11.3 is a billable, specific ICD-10-CM code for encounter for screening for infections with a predominantly sexual mode of transmission. It is valid for submission on a claim.
Risk adjustment
Z11.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
Z11.3 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58761Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
How Z11.3 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z11.3.
- Screening›gonorrhea
- Screening›sexually-transmitted disease NEC
- Screening›syphilis
- Screening›venereal disease
- Test, tests, testing›Wassermann
- Screening›disease or disorder›sexually-transmitted NEC
- Screening›disease or disorder›venereal
Related codes at this level
Codes that share Z11. If Z11.3 is not quite right, the correct code is usually one of these.
- Z11.0Encounter for screening for intestinal infectious diseases
- Z11.1Encounter for screening for respiratory tuberculosis
- Z11.2Encounter for screening for other bacterial diseases
- Z11.4Encounter for screening for human immunodeficiency virus [HIV]
- Z11.5Encounter for screening for other viral diseases
- Z11.6Encounter for screening for other protozoal diseases and helminthiases
- Z11.7Encounter for testing for latent tuberculosis infection
- Z11.8Encounter for screening for other infectious and parasitic diseases
- Z11.9Encounter for screening for infectious and parasitic diseases, unspecified
Questions about Z11.3
- Is Z11.3 a billable ICD-10-CM code?
- Yes. Z11.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z11.3 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services for examinations (Z00-Z13).