Syphilis 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

Non-Pregnant Adolescents and Adults at Increased Risk:

USPSTF: United States Preventative Services Task Force

USPSTF:

The USPSTF recommends screening for syphilis infection in persons who are at increased risk for infection (asymptomatic, nonpregnant adolescents and adults who are at increased risk for syphilis infection).

Pregnant Women:

The USPSTF recommends early screening for syphilis infection in all pregnant women.

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

Procedure Code(s)

Syphilis Screening:

0064U, 0065U, 0210U, 86592, 86953, 86780

Blood Draw:

36415, 36416

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

Preventive Benefit Instructions:

Syphilis Screening:

Requires a Pregnancy Diagnosis Code (from list above) or one of the Screening diagnosis codes listed above.

Blood Draw:

Requires both of the following:

• One of the listed Syphilis Screening procedure codes listed above

And

• One of the Screening diagnosis codes listed above or a Pregnancy Diagnosis Code from the list above.