Trichomonal cystitis and urethritis
ICD-10 A59.03 is a billable code used to indicate a diagnosis of trichomonal cystitis and urethritis.
Trichomonal cystitis and urethritis is an infection caused by the protozoan parasite Trichomonas vaginalis, primarily affecting the urogenital tract. This sexually transmitted infection (STI) is characterized by inflammation of the bladder (cystitis) and the urethra (urethritis). Symptoms may include dysuria (painful urination), increased urinary frequency, and urethral discharge. In women, it can also lead to vaginitis, while men may experience prostatitis. The infection is often asymptomatic, particularly in men, which complicates diagnosis and increases the risk of transmission. Diagnosis is typically confirmed through laboratory testing, including wet mount microscopy or nucleic acid amplification tests (NAAT). Treatment involves the administration of metronidazole or tinidazole, with both partners needing treatment to prevent reinfection. Contact tracing is crucial to identify and treat sexual partners, thereby reducing the spread of the infection. Proper education on safe sexual practices is essential to prevent future infections.
Detailed patient history, including urinary symptoms and sexual history.
Patients presenting with dysuria, urinary frequency, or urethral discharge.
Ensure documentation reflects the presence of cystitis and urethritis to support coding.
Comprehensive history of vaginal symptoms and sexual activity.
Women presenting with vaginitis symptoms alongside urinary complaints.
Document any co-existing STIs and treatment plans for both partners.
Used when confirming diagnosis of trichomonal infection.
Document the reason for testing and results.
Urology and gynecology should ensure proper test selection based on patient symptoms.
Common symptoms include painful urination, increased urinary frequency, and urethral discharge. Women may also experience vaginal discharge and irritation.
