Chlamydia trachomatis genitourinary infection
ICD-10 A56.0 is a billable code used to indicate a diagnosis of chlamydia trachomatis genitourinary infection.
Chlamydia trachomatis is a common sexually transmitted infection (STI) that primarily affects the genitourinary tract. It is caused by the bacterium Chlamydia trachomatis and can lead to various complications if left untreated, including pelvic inflammatory disease (PID), infertility, and ectopic pregnancy in women. In men, it can cause urethritis and epididymitis. The infection is often asymptomatic, particularly in women, which contributes to its spread. Symptoms, when present, may include abnormal vaginal discharge, burning sensation during urination, and abdominal pain. Diagnosis is typically made through nucleic acid amplification tests (NAATs) or other laboratory tests. Treatment usually involves a course of antibiotics, such as azithromycin or doxycycline. Contact tracing is crucial for controlling the spread of chlamydia, as partners of infected individuals should also be tested and treated to prevent reinfection. Regular screening is recommended for sexually active individuals, especially those under 25 years of age or with multiple sexual partners.
Detailed patient history, including sexual history and previous STIs.
Diagnosis and management of STIs, including chlamydia.
Ensure documentation reflects the asymptomatic nature and any complications.
Documentation of pelvic exams, lab results, and treatment plans.
Routine screening and treatment of chlamydia in women.
Document any associated conditions like PID or infertility.
Used when testing for chlamydia in symptomatic or asymptomatic patients.
Document the reason for testing and any symptoms present.
Infectious disease specialists should ensure comprehensive STI screening.
Many individuals with chlamydia are asymptomatic, but when symptoms occur, they may include abnormal discharge, burning during urination, and pelvic pain.
Chlamydia is typically treated with antibiotics such as azithromycin or doxycycline. It's important for sexual partners to be treated as well.
