Trachoma
ICD-10 A71 is a billable code used to indicate a diagnosis of trachoma.
Trachoma is a chronic infectious disease caused by the bacterium Chlamydia trachomatis, primarily affecting the eyes and leading to conjunctivitis and scarring of the cornea. It is the leading cause of preventable blindness worldwide. The disease is transmitted through direct contact with infected individuals or through contaminated objects. Initial symptoms include irritation, redness, and discharge from the eyes, which can progress to more severe complications such as trichiasis (inward turning of eyelashes) and corneal opacification. Trachoma is endemic in many developing countries, particularly in areas with poor sanitation and limited access to clean water. The World Health Organization has implemented strategies for the elimination of trachoma, focusing on the SAFE strategy: Surgery for trichiasis, Antibiotics for infection, Facial cleanliness, and Environmental improvement. While primarily an ocular condition, Chlamydia trachomatis can also cause respiratory and urogenital infections, leading to additional complications if left untreated. Accurate coding for trachoma is essential for tracking its prevalence and guiding public health interventions.
Detailed examination findings, including visual acuity and evidence of trichiasis or corneal scarring.
Patients presenting with chronic conjunctivitis, eyelid deformities, or visual impairment.
Ensure documentation reflects the chronicity and severity of the condition, as well as any surgical interventions performed.
Comprehensive history of exposure, symptoms of respiratory or urogenital infections, and treatment plans.
Patients with concurrent respiratory symptoms or urogenital infections linked to Chlamydia trachomatis.
Document any public health implications, such as outbreaks or endemic status in the community.
Performed on patients with trichiasis due to trachoma.
Document the diagnosis of trachoma and the need for surgical intervention.
Ophthalmologists should ensure that the surgical necessity is clearly linked to the diagnosis.
Trachoma is primarily caused by repeated infections with Chlamydia trachomatis, leading to inflammation and scarring of the conjunctiva.