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A56.4

Billable

Chlamydial infection of pharynx

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A bacterial infection of the throat caused by Chlamydia trachomatis, which can cause sore throat, difficulty swallowing, and discharge. This is a sexually transmitted infection that requires antibiotic treatment.

Coding Tips

  • Verify documentation specifies chlamydial infection of the pharynx (throat) rather than other sites like urogenital or rectum, as each has a different code
  • Confirm the organism is Chlamydia trachomatis and document whether this is an initial diagnosis or follow-up visit, as this may affect coding specificity

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