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Chlamydia Infection Screening

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/preventive-care-services.pdf

Service:

USPSTF: United States Preventative Services Task Force

The USPSTF recommends screening for chlamydia in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection.

Notes:

  • This recommendation applies to asymptomatic, sexually active adolescents and adults, including pregnant      persons.

  • Bright Futures recommends sexually transmitted infection screening be conducted if risk assessment is positive between ages 11-21 years

Procedure Code(s):

Chlamydia Infection Screening:

86631, 86632, 87110, 87270, 87320, 87490, 87491, 87492, 87801, 87810

Blood Draw:

36415, 36416

Blood draw codes only apply to lab codes 86631 or 86632

Diagnosis Code(s):

Pregnancy:

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/attachments/preventive-care-services-dx-code-list.pdf

Or

Screening:

Adult: Z00.00, Z00.01

Child: Z00.121, Z00.129

Other: Z11.3, Z11.4, Z11.8, Z11.9, Z20.2, Z20.6, Z29.81, Z72.51, Z72.52, Z72.53

Preventive Benefit Instructions:

Chlamydia Infection Screening:

Requires a Pregnancy Diagnosis Code or one of the Screening diagnosis codes listed above.

Blood Draw:

Required to be billed with 86631 or 86632 and

  • One of the Screening diagnosis codes listed above or

  • With a Pregnancy Diagnosis code listed above

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