ICD 10 CM A74.89 | Description & Clinical Information

ICD 10 A74.89 describes a category of infectious venereal diseases caused by the bacterium Chlamydia trachomatis, which are transmitted through sexual contact with an infected partner or during childbirth, and includes all chlamydial diseases not represented by another code.

Official Description Of A74.89

The ICD 10 CM book defines ICD 10 code A74.89 as:

When To Use A74.89

The diagnosis describes by the ICD-10 CM code A74.89 refers to other chlamydial diseases that affect different parts of the body. This condition is often asymptomatic, meaning that the patient may show no symptoms at all. However, when symptoms do manifest, they can range from mild to severe, depending on which organs are affected.

Possible symptoms that may be present in patients diagnosed with A74.89 include fever, fatigue, abdominal pain, painful and burning urination, and weight loss. Symptoms may also vary depending on the sexual orientation of the patient, as certain types of chlamydia infections can be more common in men who have sex with men or women who have sex with women.

Doctors use various methods to diagnose A74.89, including the patient’s medical history, the physical examination, and laboratory tests. The medical history helps to identify possible exposure to chlamydia and previous infections. Physical examination may reveal symptoms such as genital or rectal sores, swelling or discharge from the eyes, or swelling in lymph nodes. Blood and urine tests can provide evidence of the presence of infection, and direct immunofluorescent technique and enzyme-linked immunosorbent assay (ELISA) are used for specific types of chlamydial infections.

Treatment for A74.89 typically involves antibiotics, such as azithromycin, doxycycline, erythromycin or ofloxacin. Supportive therapy may also be recommended, depending on the severity and location of the infection. For example, pain medication may be given to patients experiencing genital or abdominal pain, and patients with chlamydia-related eye infections may be treated with antibiotics in drops or ointments.

It is important for patients with A74.89 to receive prompt treatment, as untreated infections can lead to serious complications, such as pelvic inflammatory disease (PID), infertility, and ectopic pregnancy. Patients should also be advised to abstain from sexual activity during treatment and until both the patient and the partner have completed treatment to avoid reinfection.

In conclusion, the ICD-10 CM A74.89 diagnosis code refers to other chlamydial diseases and can be asymptomatic or present with a range of symptoms. Diagnosis requires thorough examination and laboratory testing. Treatment typically involves antibiotics, pain management, and supportive therapy. Patients should receive prompt treatment and sexual abstinence is critical to prevent reinfection. It is essential to seek medical attention in case of suspected chlamydial infection to prevent long-term health concerns.