A56.11 Chlamydial female pelvic inflammatory disease

ICD10CM code

#### Name of the Condition
- **Chlamydial Female Pelvic Inflammatory Disease (PID)**
- Also known as **Chlamydial PID**.

#### Summary
Chlamydial female pelvic inflammatory disease is an infection of a woman's reproductive organs caused by the bacterium Chlamydia trachomatis. It is a common and serious complication that can result from untreated chlamydia infections.

#### Causes
The condition is primarily caused by the spread of the Chlamydia trachomatis bacteria from the cervix to the upper reproductive organs, including the uterus, fallopian tubes, and ovaries.

#### Risk Factors
- Having multiple sexual partners.
- A history of sexually transmitted infections (STIs).
- Engaging in unprotected sex.
- Being sexually active under the age of 25.

#### Symptoms
- Lower abdominal pain.
- Fever.
- Unusual vaginal discharge with an unpleasant odor.
- Painful intercourse.
- Irregular menstrual bleeding.
- Painful urination.

#### Diagnosis
- Pelvic examination.
- Testing of cervical swabs for Chlamydia trachomatis.
- Ultrasound or imaging tests to assess inflammation.
- Blood tests to check for infection markers.

#### Treatment Options
- Antibiotic therapy is the mainstay treatment, typically a combination of doxycycline and ceftriaxone.
- Pain management with over-the-counter analgesics.
- Occasionally, hospitalization or surgery may be necessary for severe cases or if an abscess forms.

#### Prognosis and Follow-Up
- With prompt treatment, most patients recover without lasting effects.
- Regular follow-up appointments are crucial to ensure the infection has cleared.
- Untreated infections can lead to chronic pelvic pain, infertility, or ectopic pregnancy.

#### Complications
- Chronic pelvic pain.
- Infertility due to scarring of reproductive organs.
- Ectopic pregnancy.
- Persistent or recurrent infections.

#### Lifestyle & Prevention
- Consistent use of condoms during sexual activity.
- Regular screening for STIs.
- Ensuring sexual partners are tested and treated for STIs.
- Limiting the number of sexual partners.

#### When to Seek Professional Help
- Experiencing severe abdominal pain or fever.
- Unusual or foul-smelling vaginal discharge.
- Suspected exposure to chlamydia or other STIs.

#### Additional Resources
- Centers for Disease Control and Prevention (CDC) - [Pelvic Inflammatory Disease (PID) Information](https://www.cdc.gov/std/pid/stdfact-pid.htm)
- American Sexual Health Association - [PID Overview](https://www.ashasexualhealth.org/stdsstis/pid/)

#### Tips for Medical Coders
- Ensure the correct ICD code A56.11 is used for chlamydial female pelvic inflammatory disease.
- Verify documentation for the specific cause (chlamydial) and location (female pelvis) to avoid miscoding.
- Be aware of similar conditions like non-chlamydial PID, which have different coding requirements.

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