ICD-10 Coding for Chlamydia Infection(A56.0, A56.8)
Complete ICD-10-CM coding and documentation guide for Chlamydia Infection. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chlamydia Infection
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A56.0 | Chlamydial infection of lower genitourinary tract | Use when documentation specifies lower genitourinary tract involvement with lab confirmation. |
|
| A56.8 | Sexually transmitted chlamydial infection of other sites | Use when documentation specifies extragenital involvement with lab confirmation. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for chlamydia infection
Essential facts and insights about Chlamydia Infection
Primary ICD-10-CM Codes for chlamydia infection
Decision Criteria
clinical Criteria
- Presence of symptoms like dysuria or discharge with lab confirmation
Applicable To
- Mucopurulent cervicitis
- Urethritis
Excludes
- Chlamydial infection of other sites
Clinical Validation Requirements
- NAAT or PCR confirmation of C. trachomatis
Code-Specific Risks
- Misuse without lab confirmation
Coding Notes
- Ensure lab confirmation is documented.
A56.8 - Sexually transmitted chlamydial infection of other sites
Use when documentation specifies extragenital involvement with lab confirmation.
Applicable To
- Rectal chlamydia
- Pharyngeal chlamydia
Excludes
- Chlamydial infection of lower genitourinary tract
Clinical Validation Requirements
- NAAT or PCR confirmation of C. trachomatis at non-genitourinary sites
Coding Notes
Ensure specific site involvement is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chlamydia Infection to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A56.0.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates that prompt for site-specific documentation., Educate staff on the importance of detailed documentation.
Impact
Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health data.
Mitigation Strategy
Ensure documentation specifies the anatomical site of infection.
Impact
Using codes like A74.9 without specific site documentation.
Mitigation Strategy
Ensure all documentation specifies the anatomical site of infection.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Chlamydia Infection, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chlamydia Infection
Use these documentation templates to ensure complete and accurate documentation for Chlamydia Infection. These templates include all required elements for proper coding and billing.
Chlamydia screening in asymptomatic patient
Specialty: Primary CareRequired Elements
- Patient demographics
- Reason for screening
- Sexual history
- Lab test type and results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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