MCMedicalCodingSoftware
A74.81

A74.81Chlamydial peritonitis

Billable / specific codeICD-10-CM

A74.81 is a billable, specific ICD-10-CM code for chlamydial peritonitis. It is valid for submission on a claim.

Excludes1 inherited from the categories above A74.81

These are not written on A74.81, but they bind it: a note on a category applies to every code beneath it. Billing A74.81 with anything listed here is a denial.

Written on A74 Other diseases caused by chlamydiae

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

Excludes2 inherited from the categories above A74.81

Also inherited, and the opposite of Excludes1: these conditions are not part of A74.81, but a patient can have both, so you may code both.

Written on A74 Other diseases caused by chlamydiae

  • chlamydial pneumonia (J16.0)

Other codes that can never be billed with A74.81

These codes carry an Excludes1 note pointing at A74.81. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A74.81 alone.

  • K65Peritonitis
  • K67Disorders of peritoneum in infectious diseases classified elsewhere

Risk adjustment

A74.81 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How A74.81 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to A74.81.

  • Chlamydia, chlamydialperitonitis
  • Peritonitischlamydial
  • Fitzhugh-Curtis syndromedue toChlamydia trachomatis
  • SyndromeFitzhugh-Curtisdue toChlamydia trachomatis

Code history

A74.81 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share A74.8. If A74.81 is not quite right, the correct code is usually one of these.

Questions about A74.81

Is A74.81 a billable ICD-10-CM code?
Yes. A74.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does A74.81 sit in the tabular list?
Certain infectious and parasitic diseases (A00-B99), in the block Other diseases caused by chlamydiae (A70-A74).
What cannot be coded together with A74.81?
A74.81 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above A74.81 (A74) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.