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A74

Non-Billable (Header)

Other diseases caused by chlamydiae

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

What This Code Means

A74 is the ICD-10-CM diagnosis code for other diseases caused by chlamydiae. A74 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering other diseases caused by chlamydiae (a70-a74).

Header codes like A74 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at A74's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A74 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1 — Do NOT code together

  • neonatal chlamydial conjunctivitis (P39.1)
  • neonatal chlamydial pneumonia (P23.1)
  • Reiter's disease (M02.3-)
  • sexually transmitted chlamydial diseases (A55-A56)

Excludes 2 — Not included here, may code separately

  • chlamydial pneumonia (J16.0)

Child Codes

Code Hierarchy

A74Other diseases caused by chlamydiae
A74Other diseases caused by chlamydiae

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A74 ICD-10 Code: Other diseases caused by | HCC Buddy