Other urogenital trichomoniasis is a sexually transmitted infection caused by the protozoan parasite Trichomonas vaginalis. It is clinically significant due to its association with increased risk of HIV transmission and other sexually transmitted infections. Accurate coding with ICD-10 Code A59.09 ensures proper diagnosis, documentation, and billing, facilitating effective public health reporting and management of the condition.
What is ICD-10 Code A59.09 for Other urogenital trichomoniasis?
ICD-10 Code A59.09 represents Other urogenital trichomoniasis, a condition characterized by the presence of Trichomonas vaginalis in the urogenital tract. This code is used when the infection does not fall under more specific categories. It is essential for clinical documentation and billing when diagnosing patients with this infection, ensuring appropriate treatment and follow-up.
ICD-10 Code A59.09 – Clinical Definition and Explanation of Other urogenital trichomoniasis
Other urogenital trichomoniasis is primarily caused by the protozoan parasite Trichomonas vaginalis, which is transmitted through sexual contact. The condition can lead to significant complications if left untreated, including increased susceptibility to other infections. Medical attention is crucial for effective management and prevention of transmission.
Key Clinical Features:
- Vaginal discharge (frothy, yellow-green)
- Itching or irritation in the genital area
- Dysuria (painful urination)
- Asymptomatic in many cases
ICD-10 Code A59.09 for Other urogenital trichomoniasis – SOAP Notes & Clinical Use
ICD-10 Code A59.09 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It 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 A59.09 for Other urogenital trichomoniasis Mean in SOAP Notes?
In SOAP notes, ICD-10 Code A59.09 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Other urogenital trichomoniasis. This code supports continuity of care, aids in billing processes, and meets EHR documentation standards.
Treatment Options for ICD-10 Code A59.09 – Other urogenital trichomoniasis
Prompt treatment of Other urogenital trichomoniasis is essential to prevent complications and transmission. 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: Metronidazole 2 g orally as a single dose
Supportive Care:
- Symptomatic relief with topical anti-itch creams
- Education on safe sexual practices
- Regular follow-up to monitor treatment efficacy
Infection Control:
- Advise patients to abstain from sexual intercourse until treatment is completed
- Encourage partner notification and treatment
- Implement safe sex practices to prevent reinfection
How to Document Symptoms of Other urogenital trichomoniasis (ICD-10 A59.09) in SOAP Notes
Subjective:
- Patient reports vaginal itching and irritation
- Complains of unusual discharge
- Denies fever or abdominal pain
- History of unprotected sexual intercourse
Objective:
- Frothy yellow-green vaginal discharge observed
- Pelvic examination reveals erythema
- No cervical motion tenderness noted
- Vital signs within normal limits
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SOAP Note Guidelines for Diagnosing Other urogenital trichomoniasis (ICD-10 Code A59.09)
Assessment:
- Diagnosis: Other urogenital trichomoniasis, mild severity
- ICD-10 Code: A59.09
- Contributing factors: Recent unprotected sexual intercourse
- No significant comorbidities noted
Plan:
- Initiate metronidazole 500 mg orally twice daily for 7 days
- Educate patient on safe sexual practices
- Schedule follow-up appointment in 1 week to assess treatment response
- Consider testing for other STIs
Treatment & Plan Section for ICD-10 Code A59.09 – Other urogenital trichomoniasis
- First-line treatment with metronidazole or tinidazole
- Patient education on infection prevention
- Monitoring for treatment efficacy and side effects
- Follow-up testing for reinfection or other STIs
Using ICD-10 Code A59.09 for Other urogenital trichomoniasis in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and treatment plans
- Use A59.09 in appropriate clinical settings for billing
- Align treatment plans with clinical guidelines for justified billing
- Include relevant CPT codes that correspond with the diagnosis
Related ICD-10 Codes Often Used with Other urogenital trichomoniasis
- A59.00 – Trichomoniasis, unspecified site
- A59.01 – Trichomoniasis, vaginal
- A59.02 – Trichomoniasis, urethral
- A59.03 – Trichomoniasis, rectal
ICD-10 Code A59.09 in Medical Billing and Insurance for Other urogenital trichomoniasis
ICD-10 Code A59.09 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant patient symptoms and history clearly
- Use A59.09 in conjunction with appropriate clinical settings for accurate billing
- Ensure all chart elements support the ICD-10 claim
- Maintain compliance with coding guidelines for reimbursement
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, level 3 |
| 87481 | Trichomonas vaginalis, amplified probe technique |
| 85025 | Complete blood count (CBC) with differential |
Frequently Asked Questions
Common Questions About Using ICD-10 Code A59.09 for Other urogenital trichomoniasis
What are the common symptoms of Other urogenital trichomoniasis?
Common symptoms include vaginal discharge that may be frothy and yellow-green, itching or irritation in the genital area, and painful urination. Some individuals may remain asymptomatic.
How is Other urogenital trichomoniasis treated?
Treatment typically involves antibiotics such as metronidazole or tinidazole. It is important for sexual partners to be treated simultaneously to prevent reinfection.
Is Other urogenital trichomoniasis contagious?
Yes, Other urogenital trichomoniasis is a sexually transmitted infection and can be transmitted through sexual contact with an infected person.
When should I seek medical attention for Other urogenital trichomoniasis?
Medical attention should be sought if you experience symptoms such as unusual discharge, itching, or painful urination, especially after unprotected sexual intercourse.
