A56.11
BillableChlamydial female pelvic inflammatory disease
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
This is a bacterial infection caused by chlamydia that affects the female reproductive organs in the pelvis, including the uterus, fallopian tubes, and ovaries. It can cause pain, abnormal discharge, and if untreated, may lead to serious complications like infertility or ectopic pregnancy.
Coding Tips
- •Verify documentation specifies chlamydial infection and confirms pelvic inflammatory disease (PID) in a female patient; do not use this code for males or other sexually transmitted infections
- •Check for any documented complications (such as abscess, sepsis, or infertility) as these may require additional secondary codes to fully capture the clinical picture
Code Hierarchy
└A56Other sexually transmitted chlamydial diseases└A56.1Chlamydial infection of pelviperitoneum and other genitourinary organs└A56.11Chlamydial female pelvic inflammatory disease
└A56.11Chlamydial female pelvic inflammatory disease