ICD-10 Z11.3
Billable / SpecificEncounter for screening for infections with a predominantly sexual mode of transmission
About ICD-10-CM Z11.3
ICD-10-CM code Z11.3 represents Encounter for screening for infections with a predominantly sexual mode of transmission. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z11). The 2026 edition of ICD-10-CM Z11.3 became effective on October 1, 2025.
Type 2 Excludes
Not included here, the excluded code is not part of Z11.3, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- encounter for screening for human immunodeficiency virus [HIV] (Z11.4)
- encounter for screening for human papillomavirus (Z11.51)
Medicare LCD Coverage for Z11.3
Local Coverage Determinations (LCDs) from CMS MACs that list Z11.3 as a covered diagnosis.
Showing top 10 of 537 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z11.3.
3 Cigna
4 Medicare
2 Aetna
CPT Codes Commonly Billed with Z11.3
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert Z11.3 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Z11.3 | V745 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z11.3
Other codes in section Z00-Z13 (Persons encountering health services for examinations).
ICD-10 Z11.3, Billing FAQ
Is ICD-10 code Z11.3 billable? +
Yes, Z11.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 2 Excludes for Z11.3? +
Type 2 Excludes (may be coded together when both conditions exist): encounter for screening for human immunodeficiency virus [HIV] (Z11.4); encounter for screening for human papillomavirus (Z11.51)
What ICD-9 codes does Z11.3 map to? +
Per CMS GEMs, Z11.3 maps to ICD-9 codes: V745. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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