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A63.0
ICD-10-CM
Genital Wart

Find comprehensive information on Genital Wart diagnosis, including clinical documentation, ICD-10 codes (A63.0, A63.8), medical coding guidelines, HPV infection, condyloma acuminata, and treatment options. Learn about proper healthcare documentation for genital warts, relevant medical terminology, and clinical findings for accurate diagnosis and billing. This resource provides essential information for healthcare professionals, coders, and patients seeking to understand Genital Wart diagnosis and management.

Also known as

Anogenital Wart
Condyloma Acuminatum
Venereal Wart

Diagnosis Snapshot

Key Facts
  • Definition : Small, fleshy growths on the genitals caused by HPV.
  • Clinical Signs : Single or multiple painless bumps, sometimes itchy or bleeding. May resemble cauliflower.
  • Common Settings : Sexual health clinics, primary care, gynecology/urology offices.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC A63.0 Coding
A63.0

Anogenital warts

Venereal warts in the anogenital region.

B07

Viral warts

Warts caused by various viral infections.

A50-A64

Infections of the genitourinary tract

Various infections affecting the genital and urinary systems.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the genital wart confirmed?

  • Yes

    Anogenital (perianal/anal) location?

  • No

    Do not code A63.0, query physician for clarification

Code Comparison

Related Codes Comparison

When to use each related code

Description
Genital warts
Molluscum contagiosum
Condyloma lata

Documentation Best Practices

Documentation Checklist
  • Genital wart location, size, morphology
  • HPV test result if performed
  • Treatment plan: cryotherapy, surgery etc
  • Number of warts: single, multiple, clustered
  • ICD-10 code A63.0: Anogenital (venereal) warts

Coding and Audit Risks

Common Risks
  • Unspecified Site Code

    Using unspecified codes like A63.0 when a more specific location is documented leads to lower reimbursement and data inaccuracy. Impacts quality reporting.

  • HPV Typing Mismatch

    Coding genital warts without correlating HPV type (e.g., B97.7) if documented creates compliance issues and inaccurate clinical data.

  • External Cause Coding

    Failing to add external cause codes (V01-Y99) when applicable, such as during screening, misses valuable data for injury prevention.

Mitigation Tips

Best Practices
  • ICD-10 A63.0, accurate wart diagnosis coding.
  • HPV testing, link to causal agent in CDI.
  • Biopsy for atypical warts, ensure compliant documentation.
  • Detailed wart description, improve CDI specificity.
  • Patient education on STI prevention, promote healthcare compliance.

Clinical Decision Support

Checklist
  • Confirm visual ID: fleshy, cauliflower-like, or flat lesions
  • Document lesion location, size, morphology (ICD-10 A63.0)
  • Patient education: STI transmission, safe sex practices
  • Consider HPV testing/typing if diagnosis unclear
  • Refer to colposcopy/biopsy if needed (patient safety)

Reimbursement and Quality Metrics

Impact Summary
  • Genital Wart reimbursement: ICD-10 A63.0, CPT 17110 (destruction), proper coding maximizes payment.
  • Coding accuracy impact: Miscoded warts (e.g., A63.8 other) reduce revenue, trigger audits.
  • Quality metrics: Wart treatment success rates affect hospital quality reporting and pay-for-performance.
  • HPV testing/vaccination documentation impacts prevention metrics and resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code A63.0 for condyloma acuminatum
  • ICD-10 A63.0, specify site
  • HPV typing improves coding
  • Document wart location, size
  • Consider co-existing STIs

Documentation Templates

Patient presents with complaints consistent with genital warts, also known as condylomata acuminata or anogenital warts.  Examination reveals flesh-colored, pink, or brown papules or plaques in the genital area.  Lesions are described as exophytic, verrucous, or cauliflower-like in appearance.  Locations of lesions include the penis, scrotum, vulva, perineum, anus, or perianal region.  Patient reports symptoms may include itching, burning, discomfort, or bleeding.  Differential diagnosis includes molluscum contagiosum, seborrheic keratosis, and squamous cell carcinoma.  Diagnosis of genital warts is confirmed by visual inspection and may be supported by acetic acid application, biopsy, or HPV DNA testing.  Patient education provided regarding sexually transmitted infections, HPV, and transmission prevention.  Treatment options discussed include topical medications such as imiquimod or podofilox, cryotherapy, surgical excision, or electrocautery.  The patient's understanding of risks, benefits, and alternatives to treatment was confirmed.  Follow-up appointment scheduled for reassessment and treatment continuation as needed.  ICD-10 code A63.0 assigned.  Procedure codes for treatment will be determined at the time of the procedure.