Follow-up after treated chlamydia with negative symptoms
Code Z09 (Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm) when the visit represents surveillance after completion of treatment and the condition no longer exists. [1]
ICD-10-CM code selection
- Z09 is assigned for follow-up examination after completed treatment for non-malignant conditions, including medical treatment. [1]
- Z86.19 (Personal history of other infectious and parasitic diseases) can be added to document history of the treated infection. [2]
- The follow-up code should be sequenced first, followed by the history code. [1]
Recommended coding for “test of cure” in an asymptomatic patient
- Primary code: Z09. [1]
- Additional code (commonly used for documenting treated infection history): Z86.19. [1], [2]