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v1.0.0
ICD-10 Guide
ICD-10 CodesA71

A71

Trachoma

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

Code Description

ICD-10 A71 is a billable code used to indicate a diagnosis of trachoma.

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between trachoma and other forms of conjunctivitis
  • Understanding the various stages of trachoma and their implications for coding
  • Identifying co-existing chlamydial infections in respiratory and urogenital systems
  • Navigating the guidelines for reporting complications such as trichiasis

Audit Risk Factors

  • Inadequate documentation of the disease's chronic nature
  • Failure to document co-existing infections
  • Misclassification of trachoma severity
  • Lack of evidence for endemic status in the patient's history

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed examination findings, including visual acuity and evidence of trichiasis or corneal scarring.

Common Clinical Scenarios

Patients presenting with chronic conjunctivitis, eyelid deformities, or visual impairment.

Billing Considerations

Ensure documentation reflects the chronicity and severity of the condition, as well as any surgical interventions performed.

Infectious Disease

Documentation Requirements

Comprehensive history of exposure, symptoms of respiratory or urogenital infections, and treatment plans.

Common Clinical Scenarios

Patients with concurrent respiratory symptoms or urogenital infections linked to Chlamydia trachomatis.

Billing Considerations

Document any public health implications, such as outbreaks or endemic status in the community.

Coding Guidelines

Inclusion Criteria

Use A71 When
  • According to ICD
  • 10 guidelines, A71 should be used when documenting trachoma specifically
  • It is important to include any relevant details about the patient's history, symptoms, and treatment

Exclusion Criteria

Do NOT use A71 When
  • Exclusions include other forms of conjunctivitis not caused by Chlamydia trachomatis

Related Codes

Child Codes

3 codes
A71.0
Toxic shock syndrome
A71.1
Toxic shock syndrome
A71.9
Trichinellosis, unspecified

Related CPT Codes

67800CPT Code

Eyelid surgery for trichiasis

Clinical Scenario

Performed on patients with trichiasis due to trachoma.

Documentation Requirements

Document the diagnosis of trachoma and the need for surgical intervention.

Specialty Considerations

Ophthalmologists should ensure that the surgical necessity is clearly linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of trachoma, improving tracking and management of the disease. It emphasizes the importance of documenting the chronic nature and complications associated with trachoma.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of trachoma, improving tracking and management of the disease. It emphasizes the importance of documenting the chronic nature and complications associated with trachoma.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of trachoma, improving tracking and management of the disease. It emphasizes the importance of documenting the chronic nature and complications associated with trachoma.

Resources

Clinical References

  • •
    World Health Organization - Trachoma

Coding & Billing References

  • •
    World Health Organization - Trachoma

Frequently Asked Questions

What is the primary cause of trachoma?

Trachoma is primarily caused by repeated infections with Chlamydia trachomatis, leading to inflammation and scarring of the conjunctiva.