High risk bisexual behavior

This code identifies individuals engaging in sexual behaviors with both male and female partners that carry an elevated risk for sexually transmitted infections (STIs) or other adverse health outcomes. This includes practices such as unprotected sex, multiple partners, or sex with partners of unknown STI status within a bisexual context. It signifies a behavioral risk factor rather than a diagnosed condition.

This code is appropriate for documenting a patient's self-reported or clinically identified high-risk bisexual behavior during a healthcare encounter. It should be used when this behavior is relevant to the patient's care, such as during STI screening, counseling for safe sex practices, or risk assessment for HIV pre-exposure prophylaxis (PrEP).

• This code should be used as a secondary diagnosis to provide additional information about a patient's risk factors.
• Do not use this code if the patient's high-risk behavior is exclusively homosexual or heterosexual; use the appropriate Z72.5x code instead.
• Ensure documentation clearly supports the "high risk" aspect of the bisexual behavior, such as lack of condom use or multiple partners.