A56.02 Chlamydial vulvovaginitis

ICD10CM code

#### Name of the Condition
- Chlamydial vulvovaginitis
- Technical term: Chlamydia trachomatis vulvovaginitis

#### Summary
Chlamydial vulvovaginitis is an infection of the vaginal and vulvar areas caused by the bacterium Chlamydia trachomatis. This condition can lead to discomfort, discharge, and inflammation.

#### Causes
- Caused by the sexually transmitted bacterium Chlamydia trachomatis.

#### Risk Factors
- Engaging in unprotected sex.
- Having multiple sexual partners.
- Being sexually active at a young age.
- Previous or concurrent sexually transmitted infections (STIs).

#### Symptoms
- Abnormal vaginal discharge.
- Burning sensation during urination.
- Painful intercourse.
- Vaginal itching or irritation.
- Spotting between periods.

#### Diagnosis
- Nucleic acid amplification tests (NAATs) from vaginal swab samples.
- Urine tests to detect Chlamydia DNA.

#### Treatment Options
- Antibiotic therapy, such as azithromycin or doxycycline, which effectively clears the infection.
- Both patient and sexual partner should be treated to prevent reinfection.

#### Prognosis and Follow-Up
- Excellent prognosis with timely treatment.
- Importance of adhering to the treatment plan and possible follow-up testing to ensure eradication of the infection.
- Regular STI screenings are recommended for sexually active individuals.

#### Complications
- Pelvic inflammatory disease if left untreated.
- Increase in the risk of ectopic pregnancy and infertility.

#### Lifestyle & Prevention
- Consistent and correct use of condoms.
- Limiting the number of sexual partners.
- Regular STI screenings, especially before having unprotected sex with a new partner.

#### When to Seek Professional Help
- Persistent symptoms suggestive of chlamydial infection, such as unusual discharge or pelvic pain.
- After being notified of potential exposure by a sexual partner.

#### Additional Resources
- Centers for Disease Control and Prevention (CDC) website: [CDC Chlamydia Information](https://www.cdc.gov/std/chlamydia/stdfact-chlamydia-detailed.htm)
- Planned Parenthood: [Chlamydia](https://www.plannedparenthood.org/learn/stds-hiv-safer-sex/chlamydia)

#### Tips for Medical Coders
- Ensure accurate coding by confirming both lab results and clinical diagnosis.
- Avoid coding errors by distinguishing from other types of vulvovaginitis when recording the ICD code A56.02.

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