Chlamydial peritonitis
ICD-10 A74.81 is a billable code used to indicate a diagnosis of chlamydial peritonitis.
Chlamydial peritonitis is an inflammatory condition of the peritoneum caused by infection with Chlamydia trachomatis. This condition is often a complication of pelvic inflammatory disease (PID), which can arise from untreated urogenital chlamydial infections. Symptoms may include abdominal pain, fever, and signs of peritoneal irritation. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and laboratory tests to confirm the presence of Chlamydia. Treatment usually consists of antibiotics, and early intervention is crucial to prevent further complications such as abscess formation or sepsis. The condition is more prevalent in sexually active women, particularly those under 25 years of age, and can lead to long-term reproductive health issues if not addressed promptly. Understanding the relationship between chlamydial infections and peritonitis is essential for effective management and coding of this condition.
Detailed history of the patient's chlamydial infection and treatment response.
Patients presenting with abdominal pain and a history of PID.
Ensure that all relevant lab results are documented to support the diagnosis.
Comprehensive documentation of pelvic examinations and any imaging studies performed.
Women with recurrent pelvic pain and a history of sexually transmitted infections.
Consideration of reproductive health implications and potential for future complications.
Used when surgical intervention is required to confirm diagnosis.
Document indications for surgery and findings during the procedure.
Ensure that the surgical necessity is clearly linked to the diagnosis of chlamydial peritonitis.
Common symptoms include abdominal pain, fever, nausea, vomiting, and signs of peritoneal irritation such as rebound tenderness.
Diagnosis is made through clinical evaluation, imaging studies, and laboratory tests, including NAAT for Chlamydia.
Treatment typically involves antibiotics, and in some cases, surgical intervention may be necessary.
