ICD-10 Code A59.02 | Trichomonal prostatitis Symptoms, Diagnosis, Billing

Trichomonal prostatitis is an inflammatory condition of the prostate gland caused by the protozoan parasite Trichomonas vaginalis. It is clinically significant due to its association with urinary symptoms, sexual dysfunction, and potential complications if left untreated. The ICD-10 Code A59.02 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code A59.02 for Trichomonal prostatitis?

ICD-10 Code A59.02 specifically represents Trichomonal prostatitis, an infection of the prostate gland caused by Trichomonas vaginalis. This code should be used in clinical documentation and billing when a patient presents with prostatitis symptoms linked to this specific infectious agent, ensuring proper identification and treatment of the underlying condition.

ICD-10 Code A59.02 – Clinical Definition and Explanation of Trichomonal prostatitis

Trichomonal prostatitis is primarily caused by the sexually transmitted protozoan Trichomonas vaginalis, leading to inflammation of the prostate. The condition can progress to chronic prostatitis if not treated, necessitating medical attention to alleviate symptoms and prevent complications.

Key Clinical Features:

• Dysuria or painful urination
• Pelvic pain or discomfort
• Urethral discharge
• Erectile dysfunction

ICD-10 Code A59.02 for Trichomonal prostatitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A59.02 is utilized to document the patient's symptoms, assessment findings, and treatment plan for Trichomonal prostatitis. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A59.02 for Trichomonal prostatitis Mean in SOAP Notes?

ICD-10 Code A59.02 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Trichomonal prostatitis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A59.02 – Trichomonal prostatitis

Trichomonal prostatitis requires prompt medical intervention to prevent complications. Antibiotic therapy is the primary treatment approach.

Antibiotic Therapy:

• Metronidazole 500 mg orally twice daily for 7 days
• Tinidazole 2 g orally as a single dose
• Alternative: Clindamycin 300 mg orally twice daily for 7 days

Supportive Care:

• Pain management with NSAIDs
• Hydration to alleviate urinary symptoms
• Patient education on safe sexual practices

Infection Control:

• Counseling on sexual transmission prevention
• Screening and treatment of sexual partners
• Avoidance of sexual activity until treatment completion

How to Document Symptoms of Trichomonal prostatitis (ICD-10 A59.02) in SOAP Notes

Subjective:

• Patient reports dysuria and pelvic pain.
• History of recent sexual activity with multiple partners.
• Complaints of urethral discharge.
• Denies fever or chills.

Objective:

• Tenderness on palpation of the prostate.
• Urethral discharge observed during examination.
• Normal vital signs.
• Urinalysis shows leukocytes and Trichomonas vaginalis.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

SOAP Note Guidelines for Diagnosing Trichomonal prostatitis (ICD-10 Code A59.02)

Assessment:

• Diagnosis: Trichomonal prostatitis, moderate severity.
• ICD-10 Code: A59.02.
• Contributing factors: Recent sexual activity, multiple partners.
• No evidence of systemic infection.

Plan:

• Initiate metronidazole 500 mg orally twice daily for 7 days.
• Educate patient on safe sexual practices and partner notification.
• Schedule follow-up in one week to assess symptom resolution.
• Consider referral to urology if symptoms persist.

Treatment & Plan Section for ICD-10 Code A59.02 – Trichomonal prostatitis

• First-line treatment with metronidazole or tinidazole.
• Education on the importance of treating sexual partners.
• Monitoring for symptom resolution and potential complications.
• Follow-up appointments to ensure effective treatment.

Using ICD-10 Code A59.02 for Trichomonal prostatitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use A59.02 in appropriate clinical settings, including outpatient and inpatient care.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes for services rendered.

Related ICD-10 Codes Often Used with Trichomonal prostatitis

• A59.00 – Trichomoniasis, unspecified site
• A59.01 – Trichomoniasis of the vagina
• N41.0 – Acute prostatitis
• N41.1 – Chronic prostatitis

ICD-10 Code A59.02 in Medical Billing and Insurance for Trichomonal prostatitis

ICD-10 Code A59.02 is crucial for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and clinical findings to support the diagnosis.
• Use A59.02 in outpatient and inpatient settings for accurate billing.
• Ensure that treatment plans are clearly outlined in the medical record.
• Include patient education and follow-up plans in documentation.

Common CPT Pairings: