A56.4
BillableChlamydial 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