2025 ICD-10-CM code Z72.52
High-risk homosexual behavior.
The medical necessity is established by the patient's engagement in high-risk behavior, the potential for STIs or HIV infection, and the need for preventative care, testing, counseling, or treatment of associated conditions.Documentation should justify the medical necessity.
The clinical responsibility may involve providing preventative care, counseling, screening for sexually transmitted infections, and managing any associated complications.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z72.52 is under the broader category Z72.5 (Factors influencing health status and contact with health services > Persons encountering health services in other circumstances > High-risk sexual behavior).
In simple words: This code is used when someone goes to a doctor or health clinic because of their high-risk sexual behavior. This could be for testing, counseling, or other services.
This code classifies encounters for individuals engaging in high-risk homosexual behavior.It is used when the individual's encounter with health services is primarily related to this behavior, regardless of the presence or absence of a concurrent illness or injury.The code should be used in conjunction with appropriate procedural codes if any procedures are performed.
Example 1: A 25-year-old male presents for HIV testing and counseling due to concerns related to his high-risk homosexual behavior., A 30-year-old male is diagnosed with a sexually transmitted infection (STI) during a routine screening. His high-risk sexual activity is documented., A 40-year-old male seeks counseling regarding safe sex practices due to his high-risk homosexual behavior.
Detailed documentation of the reason for the encounter, the patient's sexual history, and any counseling or testing provided.If procedures are performed, the corresponding procedure codes must be documented.
** This code is part of the ICD-10-CM classification system and is subject to ongoing revisions.Always refer to the latest version of the ICD-10-CM manual for the most accurate coding guidelines.
- Payment Status: Active
- Specialties:Infectious Disease, Internal Medicine, Family Medicine, Public Health
- Place of Service:Office, Clinic, Public Health Clinic