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A59.00
ICD-10-CM
Trichomoniasis

Find comprehensive information on Trichomoniasis diagnosis, including clinical documentation, medical coding (ICD-10 A59.0, SNOMED CT 87741005), and healthcare guidelines. Learn about Trichomonas vaginalis testing, treatment, and patient education resources for effective management of this common STI. Explore symptoms, prevention strategies, and relevant medical terminology for accurate Trichomoniasis documentation and coding in healthcare settings.

Also known as

Trichomonal infection
Trich

Diagnosis Snapshot

Key Facts
  • Definition : Sexually transmitted infection caused by the parasite Trichomonas vaginalis.
  • Clinical Signs : Often asymptomatic. May include vaginal itching, discharge, odor, or painful urination in women. Men may experience urethral itching or discharge.
  • Common Settings : Sexual health clinics, primary care offices, gynecologist offices, and online telehealth platforms.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC A59.00 Coding
A59

Trichomoniasis

Sexually transmitted infection caused by a parasite.

A60-A64

Other spirochaetal diseases

Includes other sexually transmitted infections like syphilis.

B50-B64

Protozoal diseases

Encompasses various diseases caused by protozoa, including some STIs.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the Trichomoniasis urogenital?

  • Yes

    Is it in the urethra?

  • No

    Is the site specified?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Trichomoniasis infection
Bacterial vaginosis
Vulvovaginal candidiasis

Documentation Best Practices

Documentation Checklist
  • Trichomoniasis diagnosis documented
  • Signs/symptoms, e.g., vaginal discharge, itching
  • Lab test results confirming Trichomonas vaginalis
  • Wet mount microscopy or NAAT test specified
  • ICD-10 code A59.0 (Trichomoniasis) documented

Coding and Audit Risks

Common Risks
  • Unspecified Trichomoniasis

    Coding A59.9 (Trichomoniasis, unspecified) when clinical documentation supports a more specific site (e.g., urogenital) leads to inaccurate data and potential underpayment.

  • Missed Trichomonas Coinfection

    Overlooking other STIs present with Trichomoniasis (e.g., Chlamydia, Gonorrhea) impacts quality metrics and reimbursement for combination therapies.

  • Asymptomatic Screening Code

    Incorrectly using a screening code (Z11.3) when Trichomoniasis is symptomatic creates coding errors and affects public health surveillance data.

Mitigation Tips

Best Practices
  • Document specific symptoms for accurate ICD-10-CM A59.0 code assignment.
  • Trichomonas vaginalis testing: Wet prep, NAAT improve CDI specificity.
  • Partner treatment crucial, document communication for compliance adherence.
  • Use SNOMED CT 81195001 for consistent Trichomoniasis documentation.
  • Regular training on trichomoniasis diagnosis updates for coding compliance.

Clinical Decision Support

Checklist
  • 1. Vaginal discharge: Thin, yellow-green, frothy?
  • 2. Cervical petechiae (strawberry cervix) present?
  • 3. Positive whiff test (fishy odor with KOH)?
  • 4. Microscopic exam: Motile trichomonads seen?
  • 5. Nucleic acid amplification test (NAAT) ordered?

Reimbursement and Quality Metrics

Impact Summary
  • Trichomoniasis reimbursement: Maximize claims with accurate ICD-10 A59.0 coding, impacting clean claim rates and timely payments.
  • Coding accuracy: Proper A59.0 coding for Trichomoniasis diagnosis ensures correct reporting for public health surveillance and resource allocation.
  • Hospital reporting: Precise Trichomoniasis coding (A59.0) improves data quality for infection control programs and outcome analysis.
  • Quality metrics: Accurate A59.0 coding reflects appropriate Trichomoniasis diagnosis and treatment, impacting quality performance scores.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code confirmed Trichomoniasis A59.0
  • Document symptoms, testing method
  • Specify vaginal, urethral, other site
  • Consider related conditions if present
  • For asymptomatic cases, code Z11.3

Documentation Templates

Patient presents with complaints consistent with trichomoniasis.  Symptoms include vaginal discharge described as frothy, yellow-green, and malodorous.  Patient also reports vulvovaginal itching, dyspareunia, and mild dysuria.  On examination,  erythema and edema of the vulva and vagina are noted.  A wet mount preparation revealed motile trichomonads, confirming the diagnosis of trichomoniasis vaginitis.  Differential diagnoses considered included bacterial vaginosis and candidiasis.  Treatment with metronidazole 500mg orally twice daily for seven days was prescribed.  Patient education regarding safe sex practices, partner treatment, and medication adherence was provided.  Follow-up appointment scheduled in two weeks to assess treatment response and rule out reinfection.  ICD-10 code A59.0, trichomoniasis, is documented for billing purposes.  Patient was instructed to abstain from sexual intercourse until completion of treatment and partner treatment is confirmed.  Potential complications, including pelvic inflammatory disease, were discussed.
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