ICD-10 Code A55 | Chlamydial lymphogranuloma (venereum) Symptoms, Diagnosis, Billing

Chlamydial lymphogranuloma (venereum) is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. It primarily affects lymphatic tissue and can lead to significant complications if untreated. Accurate coding with ICD-10 Code A55 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this condition.

What is ICD-10 Code A55 for Chlamydial lymphogranuloma (venereum)?

ICD-10 Code A55 represents Chlamydial lymphogranuloma (venereum), a condition characterized by the infection of lymphatic tissues due to Chlamydia trachomatis. This code should be used in clinical documentation and billing when diagnosing patients with this specific sexually transmitted infection, ensuring accurate representation of the patient's condition and facilitating appropriate treatment.

ICD-10 Code A55 – Clinical Definition and Explanation of Chlamydial lymphogranuloma (venereum)

Chlamydial lymphogranuloma (venereum) is an infectious disease caused by the serovars of Chlamydia trachomatis. It typically presents with lymphadenopathy and can progress to severe complications if not treated promptly. Medical attention is crucial to prevent long-term sequelae.

Key Clinical Features:

• Painless genital ulcers that may progress to lymphadenopathy.
• Buboes (swollen lymph nodes) in the groin or pelvic region.
• Possible systemic symptoms such as fever and malaise.
• Chronic complications may include genital scarring and infertility.

ICD-10 Code A55 for Chlamydial lymphogranuloma (venereum) – SOAP Notes & Clinical Use

ICD-10 Code A55 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans for Chlamydial lymphogranuloma (venereum). This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A55 for Chlamydial lymphogranuloma (venereum) Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A55 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Chlamydial lymphogranuloma (venereum). This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A55 – Chlamydial lymphogranuloma (venereum)

Chlamydial lymphogranuloma (venereum) requires prompt medical intervention to prevent complications. Antibiotic therapy is the cornerstone of treatment.

Antibiotic Therapy:

• Doxycycline 100 mg orally twice daily for 21 days.
• Alternative: Azithromycin 1 g orally in a single dose.

Supportive Care:

• Pain management with analgesics.
• Warm compresses to reduce swelling in affected lymph nodes.
• Patient education on safe sexual practices.

Infection Control:

• Advise patients to avoid sexual contact until treatment is completed.
• Screening and treatment of sexual partners.
• Report cases to public health authorities as required.

How to Document Symptoms of Chlamydial lymphogranuloma (venereum) (ICD-10 A55) in SOAP Notes

Subjective:

• Patient reports painless genital ulcers.
• History of recent sexual contact with an infected partner.
• Complaints of groin swelling and discomfort.
• Experiencing fever and malaise.

Objective:

• Physical examination reveals swollen lymph nodes in the groin.
• Genital examination shows ulcerative lesions.
• Vital signs: temperature 101°F, heart rate 90 bpm.
• Laboratory tests confirm Chlamydia trachomatis infection.

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SOAP Note Guidelines for Diagnosing Chlamydial lymphogranuloma (venereum) (ICD-10 Code A55)

Assessment:

• Diagnosis: Chlamydial lymphogranuloma (venereum), moderate severity.
• ICD-10 Code: A55.
• Contributing factors: Recent unprotected sexual contact.
• Consider differential diagnoses such as other STIs.

Plan:

• Initiate doxycycline 100 mg orally twice daily for 21 days.
• Educate patient on safe sexual practices and partner notification.
• Schedule follow-up in 2 weeks to assess treatment response.
• Consider referral to infectious disease specialist if complications arise.

Treatment & Plan Section for ICD-10 Code A55 – Chlamydial lymphogranuloma (venereum)

• First-line treatment with doxycycline or azithromycin.
• Patient education on the importance of completing the antibiotic course.
• Monitoring for resolution of symptoms and potential complications.
• Follow-up appointments to ensure effective treatment and partner management.

Using ICD-10 Code A55 for Chlamydial lymphogranuloma (venereum) in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use ICD-10 Code A55 for billing related to the diagnosis and treatment of the condition.
• Align treatment plans with clinical guidelines to support justified billing.
• Document any relevant comorbidities or complications to enhance coding accuracy.

Related ICD-10 Codes Often Used with Chlamydial lymphogranuloma (venereum)

• A54.9 – Unspecified gonococcal infection
• A56.9 – Unspecified viral infection
• A59.9 – Unspecified infection due to other specified protozoa
• A63.0 – Anogenital (venereal) warts

ICD-10 Code A55 in Medical Billing and Insurance for Chlamydial lymphogranuloma (venereum)

ICD-10 Code A55 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and clinical findings to support the use of A55.
• Ensure that the diagnosis is clearly linked to the treatment provided in the medical record.
• Use A55 in conjunction with other relevant codes for comprehensive billing.
• Review payer-specific guidelines for any additional documentation requirements.

Common CPT Pairings: