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ICD-10 Guide
ICD-10 CodesA59.02

A59.02

Trichomonal prostatitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A59.02 is a billable code used to indicate a diagnosis of trichomonal prostatitis.

Key Diagnostic Point:

Trichomonal prostatitis is an inflammatory condition of the prostate gland caused by the protozoan parasite Trichomonas vaginalis, which is primarily transmitted through sexual contact. This infection can lead to symptoms such as pelvic pain, dysuria, and urethral discharge in males. The condition is often associated with other sexually transmitted infections (STIs), making it crucial for healthcare providers to conduct comprehensive evaluations for co-infections. Diagnosis typically involves laboratory testing, including microscopic examination of prostatic secretions or urine, and may require additional STI screening. Treatment usually consists of antibiotic therapy, with metronidazole or tinidazole being the first-line agents. Given the sexually transmitted nature of the infection, contact tracing and partner notification are essential components of management to prevent reinfection and further transmission. Proper education on safe sexual practices is also vital for patients diagnosed with trichomonal prostatitis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of sexually transmitted infections and their implications.
  • Involves knowledge of differential diagnoses related to prostatitis.
  • May require additional coding for co-infections.
  • Documentation must clearly indicate the cause as trichomonal.

Audit Risk Factors

  • Inadequate documentation of sexual history.
  • Failure to document co-infections.
  • Lack of evidence for the diagnosis in medical records.
  • Improper linkage of diagnosis to treatment provided.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, including sexual history and symptoms, laboratory test results, and treatment plans.

Common Clinical Scenarios

Patients presenting with pelvic pain, dysuria, or urethral discharge.

Billing Considerations

Ensure clear documentation of the infectious etiology and any associated STIs.

Infectious Disease

Documentation Requirements

Comprehensive STI screening results, treatment regimens, and follow-up care plans.

Common Clinical Scenarios

Patients with recurrent STIs or those presenting with atypical symptoms.

Billing Considerations

Focus on contact tracing and partner notification as part of the treatment plan.

Coding Guidelines

Inclusion Criteria

Use A59.02 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant co
  • infections and ensure that the primary diagnosis reflects the cause of prostatitis

Exclusion Criteria

Do NOT use A59.02 When
No specific exclusions found.

Related CPT Codes

87481CPT Code

Trichomonas vaginalis test

Clinical Scenario

Used when testing for trichomoniasis in symptomatic patients.

Documentation Requirements

Document the reason for testing and any relevant symptoms.

Specialty Considerations

Urology and Infectious Disease specialists should ensure comprehensive STI screening.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of trichomonal prostatitis, improving the accuracy of data collection and treatment tracking for STIs.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of trichomonal prostatitis, improving the accuracy of data collection and treatment tracking for STIs.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of trichomonal prostatitis, improving the accuracy of data collection and treatment tracking for STIs.

Resources

Clinical References

  • •
    CDC - Trichomoniasis

Coding & Billing References

  • •
    CDC - Trichomoniasis

Frequently Asked Questions

What is the primary treatment for trichomonal prostatitis?

The primary treatment for trichomonal prostatitis is metronidazole or tinidazole, which are effective against Trichomonas vaginalis.

How important is contact tracing for trichomonal prostatitis?

Contact tracing is crucial for preventing reinfection and controlling the spread of the infection, as Trichomonas vaginalis is sexually transmitted.