ICD-10-CM Billable Code

A56.4

Chlamydial infection of pharynx

Clinical Classification Guidelines

Medical Intelligence & Overview

Chlamydial infection of the pharynx, classified under ICD-10 code A56.4, is a sexually transmitted infection caused by the bacterium *Chlamydia trachomatis*. It affects the throat region and is often associated with oral sexual activity. Although many individuals with this infection may experience mild or no symptoms, it has the potential to cause discomfort and may indicate other STI risks. Recognizing and understanding this condition is important for maintaining reproductive and overall health.

Causes & Symptoms

Clinical Causes: Unprotected oral sexual contact with an infected partner Transmission through oral-genital contact with a person carrying *Chlamydia trachomatis* Presence of asymptomatic infected individuals who unknowingly pass on the bacteria Poor sexual health practices that increase risk of infection

Key Symptoms: Soreness or discomfort in the throat Redness or inflammation of the pharynx Difficulty swallowing mild to moderate sore throat Possible swollen lymph nodes in the neck In some cases, no noticeable symptoms when infection is mild or asymptomatic

Diagnostic & Treatment

Diagnosis Path: Throat swab to collect a sample from the pharynx for laboratory testing Polymerase Chain Reaction (PCR) testing, which detects bacterial DNA with high accuracy Other nucleic acid amplification tests (NAATs) designed to identify chlamydial bacteria Additional testing for other sexually transmitted infections if indicated

Treatment Protocols: Doxycycline for a prescribed period, often 7 days Azithromycin as a single-dose alternative Avoiding sexual activity during treatment to prevent spreading the infection Partner notification and treatment to reduce reinfection risk

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is A56.4 a billable ICD-10 code?
Yes, A56.4 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report A56.4?
Clinical documentation must specify the nature of Chlamydial infection of pharynx and any associated comorbidities for accurate reporting.

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