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2025 ICD-10-CM code A56.19

Other chlamydial genitourinary infection.This includes chlamydial epididymitis and orchitis.

Do not use this code for chlamydial infections of the lower genitourinary tract (A56.0-), female pelvic inflammatory disease (A56.11), or other specifically classified chlamydial infections.Use additional codes to identify any drug resistance (Z16.-).

Medical necessity for A56.19 is established by the presence of signs, symptoms, and laboratory confirmation of a chlamydial infection affecting the male genitourinary tract beyond the lower urinary tract (urethra, bladder) or the female pelvic inflammatory disease.

Diagnosis of A56.19 involves a review of symptoms (testicular pain, swelling, painful or burning urination, and abnormal penile discharge), patient history, and a physical exam.Laboratory testing such as urine or penile discharge culture, direct immunofluorescence, or nucleic acid amplification tests (NAAT) confirm the diagnosis. Treatment usually consists of antibiotics like doxycycline.

In simple words: This code indicates a chlamydia infection of the genital and urinary organs, specifically infections other than those of the lower genitourinary tract or female pelvic inflammatory disease. It covers infections like chlamydia of the epididymis (the tube that stores and carries sperm) and testes.

Other chlamydial infection of the genitourinary organs, other than the lower genitourinary tract or the female pelvic organs. Examples include chlamydial epididymitis and chlamydial orchitis.

Example 1: A 25-year-old male presents with testicular pain, swelling, and dysuria.A urine test is positive for Chlamydia trachomatis.He is diagnosed with chlamydial epididymitis (A56.19)., A 30-year-old male with a history of unprotected sex experiences unilateral testicular pain and swelling.Physical examination reveals tenderness of the epididymis.A NAAT test confirms Chlamydia trachomatis infection. The diagnosis is chlamydial orchitis and epididymitis (A56.19)., A male patient reports penile discharge and pain.While he initially suspects gonorrhea, tests come back negative for Neisseria gonorrhoeae but positive for Chlamydia trachomatis.Further examination reveals infection beyond the lower genitourinary tract, leading to a diagnosis of A56.19.

Documentation should include signs and symptoms, sexual history, physical exam findings, and laboratory test results confirming the Chlamydia trachomatis infection and specifying the affected genitourinary organ(s) beyond the lower tract or female pelvic organs (e.g., epididymis, testes).

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