Chlamydial infection of lower genitourinary tract, unspecified
ICD-10 A56.1 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, leading to symptoms such as dysuria, increased urinary frequency, and abnormal vaginal discharge. However, many individuals remain asymptomatic, which complicates diagnosis and increases the risk of transmission. The infection can lead to serious complications if left untreated, including pelvic inflammatory disease (PID) in women, which can result in infertility. Diagnosis is typically made through nucleic acid amplification tests (NAATs), which are highly sensitive and specific. Treatment usually involves a course of antibiotics, such as azithromycin or doxycycline. Contact tracing is crucial in managing chlamydial infections, as it helps identify and treat sexual partners to prevent reinfection and further spread of the disease. Regular screening is recommended for sexually active individuals, particularly those under 25 years of age or those with multiple sexual partners.
Detailed patient history, including sexual history and previous STIs.
Diagnosis and management of STIs, particularly in high-risk populations.
Consideration of co-infections and the need for comprehensive treatment plans.
Documentation of gynecological exams, symptoms, and treatment plans.
Routine screening and management of STIs in pregnant women.
Impact of chlamydia on pregnancy outcomes and the need for partner notification.
Used for testing in patients suspected of having chlamydial infection.
Document the reason for testing and patient consent.
Infectious disease specialists may require additional lab results for comprehensive management.
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 identify and treat sexual partners, reducing the risk of reinfection and further transmission.