Chlamydial cystitis and urethritis
ICD-10 A56.01 is a billable code used to indicate a diagnosis of chlamydial cystitis and urethritis.
Chlamydial cystitis and urethritis is an infection caused by the bacterium Chlamydia trachomatis, which is a common sexually transmitted infection (STI). This condition primarily affects the urinary tract, leading to inflammation of the bladder (cystitis) and the urethra (urethritis). Patients may present with symptoms such as dysuria (painful urination), increased urinary frequency, urgency, and lower abdominal discomfort. In some cases, the infection can be asymptomatic, particularly in women. If left untreated, chlamydial infections can lead to serious complications, including pelvic inflammatory disease (PID) in women, which can result in infertility. Diagnosis is typically made through nucleic acid amplification tests (NAATs) or urine tests. Treatment usually involves antibiotics, such as azithromycin or doxycycline, and it is crucial to treat sexual partners to prevent reinfection. Contact tracing is an essential component of managing STIs, ensuring that all potentially exposed individuals are tested and treated appropriately to reduce transmission rates.
Detailed patient history, including sexual history and symptomatology, as well as treatment plans.
Patients presenting with dysuria, urinary frequency, or pelvic pain.
Ensure documentation reflects the specific type of infection and any complications.
Comprehensive documentation of pelvic exams, STI screening results, and treatment plans.
Women presenting with pelvic pain, abnormal discharge, or urinary symptoms.
Consideration of potential complications such as PID and the need for partner notification.
Used when testing for chlamydial infection in symptomatic patients.
Document the reason for testing and any symptoms present.
Urologists and gynecologists should ensure proper coding for STI screenings.
Common symptoms include painful urination, increased urinary frequency, urgency, and lower abdominal pain. Some individuals may be asymptomatic.
Treatment typically involves antibiotics such as azithromycin or doxycycline. It is important to treat sexual partners to prevent reinfection.
Contact tracing helps identify and treat sexual partners of infected individuals, reducing the risk of reinfection and further transmission of the infection.
