2025 ICD-10-CM code A55

Chlamydial lymphogranuloma (venereum).

Use additional code to identify resistance to antimicrobial drugs (Z16.-).

Medical necessity for LGV treatment is established by the confirmed diagnosis of Chlamydia trachomatis infection and the presence of characteristic symptoms. The medical necessity for testing is based on patient risk factors and symptoms.

Clinicians should diagnose LGV based on symptoms, patient history, and physical exam. Laboratory tests such as culture of genital lesion swabs or aspirate from rectal abscesses, direct immunofluorescence, or nucleic acid amplification tests (NAATs) can confirm the diagnosis.

In simple words: Chlamydial lymphogranuloma venereum (LGV) is a sexually transmitted infection (STI) that primarily affects the lymph nodes in the groin and other areas. It's caused by a specific type of bacteria called Chlamydia trachomatis. In the early stages, there might be no symptoms or just a small sore. Later, lymph nodes can swell and become painful. If left untreated, it can cause more serious complications. Treatment typically involves antibiotics.

Chlamydial lymphogranuloma venereum (LGV) is a sexually transmitted disease (STD) that mainly involves the lymph nodes in the abdominal, retroperitoneal, inguinal, and femoral areas due to infection by the bacteria Chlamydia trachomatis.

Example 1: A 25-year-old male presents with painful swollen lymph nodes in the groin area. He reports having unprotected sexual contact a few weeks prior. A NAAT test confirms Chlamydia trachomatis infection, and the clinical presentation is consistent with LGV., A 30-year-old female experiences abdominal pain and fever. During the examination, the physician notes enlarged and tender intra-abdominal lymph nodes. Further testing reveals a Chlamydia trachomatis infection, indicating LGV as the cause of her symptoms., A patient presents with rectal pain and bleeding. Upon examination, the physician discovers rectal strictures and fistulas. The patient's history and further testing confirm a diagnosis of LGV, highlighting the long-term consequences of untreated infection.

Documentation should include patient history, physical exam findings, and results of laboratory tests confirming Chlamydia trachomatis infection (e.g., NAAT, culture). The location and characteristics of lesions or swollen lymph nodes should also be documented.

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