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 A59.00 

(UROGENITAL TRICHOMONIASIS UNSPECIFIED)

                                 Trichomoniasis is a common sexually transmitted infection caused by a parasite. In women, trichomoniasis can cause a foul-smelling vaginal discharge, genital itching and painful urination. Men who have trichomoniasis typically have no symptoms. Pregnant women who have trichomoniasis might be at higher risk of delivering their babies prematurely.

                                To prevent reinfection with the organism that causes trichomoniasis, both partners should be treated. The most common treatment for trichomoniasis involves taking one megadose of metronidazole (Flagyl) or tinidazole (Tindamax). You can reduce your risk of infection by using condoms correctly every time you have sex.

SYMPTOMS

  • Vaginal fluid that smells bad and is greenish or yellowish
  • Genital itching, burning, redness, or soreness
  • Pain when they pee or have sex
  • The need to pee more often
  • Bleeding after sex
  • Itching or irritation inside their penis
  • A thin white discharge from the penis
  • Pain when they pee or have sex
  • The need to pee more often
                                  Although Trichomonas vaginalis is a common sexually transmitted pathogen, the significance and natural history of trichomoniasis remain undefined in the male patient. We conducted a longitudinal study to examine the relationship of T. vaginalis to nongonococcal urethritis in men and to increase our understanding of the natural history of this infection. As previously reported, T. vaginalis was isolated from 50 of 447 men attending a sexually transmitted disease clinic by culture of urethra, first-void urine or external genitalia. Semen cultures proved valuable for documentation in select cases, including 4 instances when concomitant cultures of the external genitalia, urethra and first-void urine sediment were all negative. Spontaneous resolution was documented in 36% of untreated men but 1 asymptomatic man had persistence of T. vaginalis throughout a 4-month period. 

                                   Nongonococcal nonchlamydial urethritis was documented in 12 of 21 men (57%) at the visit before treatment or spontaneous resolution compared to only 2 (10%) after elimination of T. vaginalis (p < 0.001). These findings suggest that spontaneous resolution of trichomoniasis and prolonged asymptomatic carriage occur in men with trichomoniasis and that T. vaginalis is a treatable cause of urethritis among sexually active men.



  • A59.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM A59.9 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of A59.9 - other international versions of ICD-10 A59.9 may differ.
The following code(s) above A59.9 contain annotation back-references
 that may be applicable to A59.9:
  • A00-B99 
     Certain infectious and parasitic diseases
  • A50-A64 
     Infections with a predominantly sexual mode of transmission
  • A59 
         Trichomoniasis
Approximate Synonyms
  • Infection by trichomonas
  • Trichomonas infection
Clinical Information
  • Infections in birds and mammals produced by various species of trichomonas.
  • Trichomoniasis is a sexually transmitted disease caused by a parasite. It affects both women and men, but symptoms are more common in women. Symptoms in women include a green or yellow discharge from the vagina, itching in or near the vagina and discomfort with urination. Most men with trichomoniasis don't have any symptoms, but it can cause irritation inside the penis.you can cure trichomoniasis with antibiotics. In men, the infection usually goes away on its own without causing symptoms. But an infected man can continue to infect or reinfect a woman until he gets treated. So it's important that both partners get treated at the same time. Correct usage of latex condoms greatly reduces, but does not eliminate, the risk of catching or spreading trichomoniasis. Centers for Disease Control and Prevention.
ICD-10-CM A59.9 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 867 Other infectious and parasitic diseases diagnoses with mcc
  • 868 Other infectious and parasitic diseases diagnoses with cc
  • 869 Other infectious and parasitic diseases diagnoses without cc/mcc

Convert A59.9 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change

Diagnosis Index entries containing back-references to A59.9:



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