ICD-10 Code A56.19 | Other chlamydial genitourinary infection Symptoms, Diagnosis, Billing

Other chlamydial genitourinary infections are caused by the bacterium Chlamydia trachomatis, which can lead to various complications if left untreated. This condition is clinically significant as it can result in serious reproductive health issues, including infertility. The ICD-10 Code A56.19 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track these infections.

What is ICD-10 Code A56.19 for Other chlamydial genitourinary infection?

ICD-10 Code A56.19 represents Other chlamydial genitourinary infections that do not fall under more specific classifications. This code is used when a patient presents with symptoms related to chlamydial infections affecting the genitourinary tract, which may include urethritis or cervicitis. It is essential for clinical documentation and billing when diagnosing patients with these infections.

ICD-10 Code A56.19 – Clinical Definition and Explanation of Other chlamydial genitourinary infection

Other chlamydial genitourinary infections are primarily caused by Chlamydia trachomatis, which can lead to inflammation and complications in the reproductive system. Prompt medical attention is necessary to prevent long-term health issues such as pelvic inflammatory disease (PID) and infertility.

Key Clinical Features:

• Asymptomatic in many cases, especially in women.
• Symptoms may include dysuria, abnormal discharge, and pelvic pain.
• Increased risk of sexually transmitted infections (STIs).
• Potential for long-term reproductive health complications.

ICD-10 Code A56.19 for Other chlamydial genitourinary infection – SOAP Notes & Clinical Use

ICD-10 Code A56.19 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate billing.

What Does ICD-10 Code A56.19 for Other chlamydial genitourinary infection Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A56.19 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of chlamydial genitourinary infection. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A56.19 – Other chlamydial genitourinary infection

Prompt treatment of Other chlamydial genitourinary infections is crucial to prevent complications. Antibiotic therapy is the primary treatment approach.

Antibiotic Therapy:

• Azithromycin 1 g orally in a single dose.
• Doxycycline 100 mg orally twice daily for 7 days.
• Alternative: Levofloxacin 500 mg orally once daily for 7 days.

Supportive Care:

• Encourage hydration to alleviate symptoms.
• Pain management with NSAIDs as needed.
• Patient education on safe sexual practices.

Infection Control:

• Advise patients to inform sexual partners for testing.
• Encourage regular STI screenings.
• Implement safe sex practices to prevent transmission.

How to Document Symptoms of Other chlamydial genitourinary infection (ICD-10 A56.19) in SOAP Notes

Subjective:

• Patient reports dysuria and increased urinary frequency.
• History of unprotected sexual intercourse.
• Noted abnormal vaginal discharge.
• No previous history of STIs.

Objective:

• Physical examination reveals cervical tenderness.
• Urinalysis shows leukocytes and nitrites.
• Positive nucleic acid amplification test (NAAT) for Chlamydia.
• Vital signs within normal limits.

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SOAP Note Guidelines for Diagnosing Other chlamydial genitourinary infection (ICD-10 Code A56.19)

Assessment:

• Diagnosis: Other chlamydial genitourinary infection, mild severity.
• ICD-10 Code: A56.19.
• Contributing factors: Recent unprotected sexual activity.
• No known allergies reported.

Plan:

• Initiate treatment with Azithromycin 1 g orally.
• Educate patient on safe sexual practices and STI prevention.
• Schedule follow-up appointment in one week to reassess symptoms.
• Consider partner notification and treatment.

Treatment & Plan Section for ICD-10 Code A56.19 – Other chlamydial genitourinary infection

• First-line treatment with Azithromycin or Doxycycline.
• Patient education on the importance of completing the antibiotic course.
• Regular follow-up to monitor treatment efficacy and symptom resolution.
• Encourage lifestyle modifications to reduce risk of reinfection.

Using ICD-10 Code A56.19 for Other chlamydial genitourinary infection in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use A56.19 for billing when diagnosing chlamydial infections not specified elsewhere.
• Align treatment plans with clinical guidelines to support justified billing.
• Document any relevant patient history that may affect treatment decisions.

Related ICD-10 Codes Often Used with Other chlamydial genitourinary infection

• A56.0 – Chlamydial infection of the cervix
• A56.1 – Chlamydial infection of the urethra
• A56.8 – Other chlamydial infections
• A56.9 – Chlamydial infection, unspecified

ICD-10 Code A56.19 in Medical Billing and Insurance for Other chlamydial genitourinary infection

ICD-10 Code A56.19 is essential for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and clinical findings to support the diagnosis.
• Use A56.19 in conjunction with appropriate CPT codes for billing.
• Ensure that the treatment plan aligns with documented symptoms for compliance.
• Include follow-up care in documentation to support ongoing treatment needs.

Common CPT Pairings: