2021 ICD-10-CM Code Z72.52
High risk homosexual behavior
Valid for Submission
Z72.52 is a billable diagnosis code used to specify a medical diagnosis of high risk homosexual behavior. The code Z72.52 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 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, gay, high risk homosexual behavior , high risk sexual behavior, 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 |
Code Classification
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:
- - High
- - risk
- - sexual behavior (heterosexual) - Z72.51
- - homosexual - Z72.52
- - sexual behavior (heterosexual) - Z72.51
- - risk
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.
Approximate 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
- Gay
- High risk homosexual behavior
- High risk sexual behavior
- 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 Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert Z72.52 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Z72.52 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- V69.2 - High-risk sexual behavr (Approximate Flag)
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.
- Syphilis and MSM (Men Who Have Sex with Men) (Centers for Disease Control and Prevention)
[Learn More in MedlinePlus]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)