ICD-10 Code A74.0 | Chlamydial conjunctivitis Symptoms, Diagnosis, Billing

Chlamydial conjunctivitis is an eye infection caused by the bacterium Chlamydia trachomatis. It is clinically significant due to its potential to cause severe ocular complications if left untreated. Accurate coding with ICD-10 Code A74.0 facilitates proper diagnosis, documentation, medical billing, and public health reporting, ensuring effective management of this infectious condition.

What is ICD-10 Code A74.0 for Chlamydial conjunctivitis?

ICD-10 Code A74.0 represents Chlamydial conjunctivitis, an infection of the conjunctiva caused by Chlamydia trachomatis. This code should be used in clinical documentation and billing when diagnosing patients with this condition, particularly in cases of acute infection or when associated with sexually transmitted infections.

ICD-10 Code A74.0 – Clinical Definition and Explanation of Chlamydial conjunctivitis

Chlamydial conjunctivitis is primarily caused by the bacterium Chlamydia trachomatis, often transmitted through direct contact with infected secretions. The condition can lead to significant ocular morbidity if not treated promptly. Medical attention is crucial to prevent complications such as scarring and vision loss.

Key Clinical Features:

• Redness and swelling of the conjunctiva
• Discharge that may be watery or purulent
• Itching or burning sensation in the eyes
• Photophobia (sensitivity to light)

ICD-10 Code A74.0 for Chlamydial conjunctivitis – SOAP Notes & Clinical Use

ICD-10 Code A74.0 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan for Chlamydial conjunctivitis. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.

What Does ICD-10 Code A74.0 for Chlamydial conjunctivitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A74.0 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Chlamydial conjunctivitis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A74.0 – Chlamydial conjunctivitis

Chlamydial conjunctivitis requires prompt treatment 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: Erythromycin 500 mg orally four times daily for 7 days

Supportive Care:

• Warm compresses to alleviate discomfort
• Artificial tears to relieve dryness
• Avoidance of contact lenses during treatment

Infection Control:

• Hand hygiene to prevent spread
• Avoid sharing personal items like towels
• Education on safe sexual practices to reduce transmission

How to Document Symptoms of Chlamydial conjunctivitis (ICD-10 A74.0) in SOAP Notes

Subjective:

• Patient reports redness and irritation in both eyes.
• Complains of a watery discharge that has become purulent.
• History of recent sexual contact with an infected partner.
• Experiences increased sensitivity to light.

Objective:

• Conjunctival injection noted on examination.
• Purulent discharge observed upon eyelid eversion.
• No corneal involvement or ulceration detected.
• Visual acuity remains intact.

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 Chlamydial conjunctivitis (ICD-10 Code A74.0)

Assessment:

• Diagnosis: Chlamydial conjunctivitis, mild severity.
• ICD-10 Code: A74.0.
• Contributing factors: Recent sexual exposure.
• No systemic symptoms noted.

Plan:

• Initiate treatment with Azithromycin 1 g orally.
• Educate patient on proper hygiene and infection control.
• Schedule follow-up in one week to assess treatment response.
• Advise on avoiding contact lenses until resolution.

Treatment & Plan Section for ICD-10 Code A74.0 – Chlamydial conjunctivitis

• First-line treatment with Azithromycin or Doxycycline.
• Patient education on hygiene and prevention of transmission.
• Monitoring for symptom resolution and potential complications.
• Follow-up appointment to ensure effective treatment.

Using ICD-10 Code A74.0 for Chlamydial conjunctivitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use A74.0 in appropriate clinical settings, including outpatient and emergency care.
• Align treatment plans with clinical guidelines to support billing.
• Include relevant CPT codes for services rendered.

Related ICD-10 Codes Often Used with Chlamydial conjunctivitis

• A74.1 – Chlamydial keratoconjunctivitis
• A56.9 – Chlamydial infection, unspecified
• H10.9 – Conjunctivitis, unspecified
• A54.9 – Gonococcal infection, unspecified

ICD-10 Code A74.0 in Medical Billing and Insurance for Chlamydial conjunctivitis

ICD-10 Code A74.0 is crucial for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and clinical findings.
• Use A74.0 in conjunction with appropriate CPT codes for services provided.
• Ensure compliance with payer requirements for documentation.
• Review coding guidelines to support accurate claims.

Common CPT Pairings: