Ob-Gyn Coding Alert

Question: I’m new to ob-gyn coding. My ob-gyn documented that the patient has “condylomata.” What is this, and how do I report it?

Alabama Subscriber

Answer: Condylomata refers to genital warts, which are soft growths on the skin and mucus membranes of a woman’s genitals. These warts are a highly contagious sexually transmitted disease caused by subtypes of the human papillomavirus (HPV). You will report this with A63.0 (Anogenital [venereal] warts). This code is applicable to anogenital warts due to (human) papillomavirus (HPV) and condyloma acuminatum.

Documentation: The provider must document the type of warts for you to code it specifically. If you look at the ICD-10-CM Alphabetic Index, you’ll find A63.0 when you look for the

following terms:

• Condyloma A63.0
• Condyloma >> ancuminatum A63.0
• Disease, diseased - see also Syndrome >> sexually transmitted A64 >> anogenital >> warts A63.0
• Infection, infected, infective (opportunistic) B99.9 >> human >> papilloma virus A63.0
• Papilloma - see also Neoplasm, benign, by site acuminatum (female) (male) (anogenital) A63.0
• Verruca (due to HPV) (filiformis) (simplex) (viral) (vulgaris) B07.9 >> acuminata A63.0
• Verruca (due to HPV) (filiformis) (simplex) (viral) (vulgaris) B07.9 >> venereal A63.0
• Wart (due to HPV) (filiform) (infectious) (viral) B07.9 >> anogenital region (veneral) A63.0
• Wart (due to HPV) (filiform) (infectious) (viral) B07.9 >> external genital organs (veneral) A63.0
• Wart (due to HPV) (filiform) (infectious) (viral) B07.9 >> venereal A63.0

Therefore, you should look for key terms like “condyloma” or “genital warts due to HPV” or “venereal warts.” This will lead you to the correct code.

Coder tips: Under the A63 category, you’ll see an Excludes2 note that lists molluscum contagiosum (B08.1) and papilloma of cervix (D26.0). That means that these conditions are not included with A63 codes, but a patient may have both conditions and if so, you should code both.