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A74 ICD-10-CM Code: Other diseases caused by chlamydiae

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Other diseases caused by chlamydiae (A70-A74)

A74

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other diseases caused by chlamydiae

Other diseases caused by chlamydiae

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
A7Other diseases caused by chlamydiae (A70-A74)
A74Other diseases caused by chlamydiae

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A74 in this effective period.

Excludes 2

Official
  • chlamydial pneumonia (J16.0)

Related Child Codes

Official
A74.0Chlamydial conjunctivitis
A74.8Other chlamydial diseases
A74.9Chlamydial infection, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for A74 in this effective period.

Excludes 1

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A74 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A74 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A74 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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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

Work A74 in HCC Buddy

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