ICD-10 Code A74.81 – Chlamydial peritonitis (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Chlamydial peritonitis is A74.81.
2026 ICD-10-CM Diagnosis Code A74.81 – Chlamydial peritonitis

What it is

A74.81 identifies peritonitis caused by Chlamydia infection. Use it when the medical record documents inflammation of the peritoneum linked to chlamydial disease.

Clinical signs

Clinical features vary; refer to documentation. Typical notes may describe abdominal pain, tenderness, or signs of pelvic or intra-abdominal infection when chlamydia is identified as the cause.

When to use this code

Use this code when the provider clearly documents chlamydial peritonitis or peritoneal inflammation attributed to Chlamydia. It is appropriate when the diagnosis is confirmed or stated as the reason for evaluation or treatment. Check documentation if the infection site is unclear.

Do not use for

Do not use it for nonspecific peritonitis, pelvic inflammatory disease without peritoneal involvement, or chlamydial infection at another site. If the record does not link peritonitis to Chlamydia, check documentation.

Coding tip

Code the condition only when the causal relationship to Chlamydia is documented, not implied.

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