ICD-10-CM Code Z72.52

High risk homosexual behavior

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z72.52 is a billable code used to specify a medical diagnosis of high risk homosexual behavior. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z72.52 might also be used to specify conditions or terms like compulsive overt homosexual state, cottaging, cruising, high risk homosexual behavior, high risk sexual behavior, homosexual, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z72.52 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:Z72.52
Short Description:High risk homosexual behavior
Long Description:High risk homosexual behavior

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z72.52 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Compulsive overt homosexual state
  • Cottaging
  • Cruising
  • High risk homosexual behavior
  • High risk sexual behavior
  • Homosexual
  • Homosexual behavior
  • Homosexual behavior

Present on Admission (POA)

Z72.52 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z72.52 to ICD-9

  • V69.2 - High-risk sexual behavr (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services in other circumstances (Z69-Z76)
      • Problems related to lifestyle (Z72)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Gay, Lesbian, Bisexual, and Transgender Health

Gay, lesbian, bisexual, and transgender individuals have special health concerns besides the usual ones that affect most men and women. On this page you'll find information about these specific health issues.


[Learn More]