Chlamydial infection of lower genitourinary tract, unspecified
ICD-10 A56.00 is a billable code used to indicate a diagnosis of chlamydial infection of lower genitourinary tract, unspecified.
Chlamydial infection of the lower genitourinary tract is a common sexually transmitted infection (STI) caused by the bacterium Chlamydia trachomatis. This infection primarily affects the urethra in men and the cervix in women, but it can also involve the rectum and throat. Many individuals with chlamydial infections are asymptomatic, which can lead to delayed diagnosis and treatment. Symptoms, when present, may include dysuria, increased urinary frequency, abnormal vaginal discharge, and pelvic pain. If left untreated, chlamydia can lead to serious complications such as pelvic inflammatory disease (PID) in women, which can result in infertility, and epididymitis in men. The infection is typically transmitted through sexual contact, including vaginal, anal, and oral sex. Regular screening and prompt treatment are essential to control the spread of this infection and prevent complications. Treatment usually involves antibiotics, with azithromycin or doxycycline being the most commonly prescribed. Contact tracing is crucial to identify and treat sexual partners to prevent reinfection and further transmission.
Detailed documentation of symptoms, sexual history, and treatment plans.
Routine screening in sexually active women, management of PID.
Consideration of pregnancy status and potential complications.
Accurate recording of urinary symptoms and sexual history.
Evaluation of dysuria in males, treatment of epididymitis.
Assessment for potential co-infections with other STIs.
Used when testing for chlamydia in symptomatic or asymptomatic patients.
Document the reason for testing and any symptoms present.
Gynecologists and urologists should ensure proper coding based on the patient's history.
Common symptoms include dysuria, abnormal discharge, and pelvic pain, but many individuals may be asymptomatic.
Chlamydia is typically treated with antibiotics such as azithromycin or doxycycline.
Contact tracing helps to identify and treat sexual partners, reducing the risk of reinfection and further transmission.
