2026 ICD-10-CM Diagnosis Code A74.0Chlamydial conjunctivitis

ICD-10-CM Codes›A00–B99›A70-A74›A74

ICD-10-CM A74.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

A74.0 is a billable ICD-10-CM diagnosis code for chlamydial conjunctivitis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Bacterial infections and Cornea and external disease.

Code Identity

ICD-10-CM Code
A74.0
Billable Status
Yes — Valid for Submission
Code Describes
Chlamydial conjunctivitis
Short Description
Chlamydial conjunctivitis
Same as the full description in the CMS dataset.
Parent Code
A74
Other diseases caused by chlamydiae

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA70-A74Other diseases caused by chlamydiae
CategoryA74Other diseases caused by chlamydiae
This CodeA74.0Chlamydial conjunctivitis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral chlamydial conjunctivitis
  • Chlamydial conjunctivitis
  • Chronic chlamydial follicular conjunctivitis
  • Chronic follicular conjunctivitis
  • Conjunctivitis of bilateral eyes caused by bacteria
  • Conjunctivitis of left eye caused by bacteria
  • Conjunctivitis of left eye caused by Chlamydia trachomatis
  • Conjunctivitis of right eye caused by bacteria
  • Conjunctivitis of right eye caused by Chlamydia trachomatis
  • Inclusion conjunctivitis of the adult
  • Neonatal bacterial dacryocystitis
  • Neonatal chlamydial dacryocystitis
  • Neonatal chlamydial infection
  • Neonatal dacryocystitis
  • Trachoma

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Paratrachoma

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Chlamydia, chlamydial
      • conjunctivitis
    • Conjunctivitis(staphylococcal) (streptococcal) NOS
      • chlamydial
    • Conjunctivitis(staphylococcal) (streptococcal) NOS
      • in (due to)
        • Chlamydia
    • Conjunctivitis(staphylococcal) (streptococcal) NOS
      • inclusion
    • Disease, diseased
      • conjunctiva
        • chlamydial
    • Paratrachoma

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INF003
Bacterial infections
Default principal diagnosis: inpatient No · outpatient No
CCSR EYE001
Cornea and external disease
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Trachoma

    a chronic infection of the conjunctiva and cornea caused by chlamydia trachomatis.

  • Chlamydia Trachomatis Antigen Measurement|CTRAG|Chlamydia trachomatis Antigen|Chlamydia trachomatis Antigen

    the determination of the chlamydia trachomatis antigen present in a sample.

  • Chlamydia trachomatis DNA Measurement|CTRDNA|Chlamydia trachomatis DNA|Chlamydia trachomatis DNA

    the determination of the amount of chlamydia trachomatis dna present in a sample.

  • Chlamydia trachomatis IgA Antibody Measurement

    the determination of the amount of chlamydia trachomatis iga antibody present in a sample.

  • Chlamydia trachomatis IgG Antibody Measurement

    the determination of the amount of chlamydia trachomatis igg antibody present in a sample.

  • Chlamydia trachomatis IgM Antibody Measurement

    the determination of the amount of chlamydia trachomatis igm antibody present in a sample.

  • Chlamydia trachomatis Measurement|CTR|Chlamydia trachomatis|Chlamydia trachomatis

    the determination of the amount of chlamydia trachomatis in a biological sample.

  • Chlamydia Trachomatis RNA Measurement|CTRRNA|Chlamydia trachomatis RNA|Chlamydia trachomatis RNA

    the determination of the amount of chlamydia trachomatis rna in a biological sample.

  • Chlamydia trachomatis|CHLAMYDIA TRACHOMATIS|CHLAMYDIA TRACHOMATIS

    a species of facultatively aerobic, gram-negative, coccobacilli assigned to the phylum chlamydiae. this species cannot be grown on an artificial medium, lacks peptidoglycan within the cell wall, forms elementary and reticulate bodies and can be identified using monoclonal antibodies (mabs) to epitopes in the vs 4 region of momp along with dna sequencing. c. trachomatis is an obligate intracellular parasite that can be transmitted through sexual contact causing infections of the genital tract and rectum and infertility in women, as well as cause eye infections.

  • Neonatal Chlamydia Conjunctivitis|Neonatal Chlamydial Conjunctivitis|Neonatal Inclusion Conjunctivitis|Neonatal Trachoma

    inflammation of the conjunctiva in a newborn due to chlamydia trachomatis which was acquired during labor and delivery.

  • Trachoma

    a bacterial infection of the eye caused by chlamydia trachomatis.

  • Chronic Follicular Conjunctivitis

    follicular conjunctivitis caused by chlamydia trachomatis, moraxella, borrelia, molluscum contagiosum, or toxicity from eye make-up and eye drops.

  • Neonatal Dacryocystitis

    inflammation of the lacrimal sac in a newborn due to blocked drainage of tears or infection.

Patient EducationClinical

Bacterial Infections

Bacteria are tiny organisms (living things) that have only one cell. Under a microscope, they look like balls, rods, or spirals. They can be found almost everywhere on Earth. There are lots of bacteria in and on your body. In fact, your body has about 10 times more bacteria cells than human cells.

The full article covers:

  • What are bacteria?
  • How do bacterial infections spread?
  • What are the treatments for bacterial infections?
  • Can bacterial infections be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert A74.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
077.0 Inclusion conjunctivitis
Approximate The match is approximate rather than exact.
ICD-9-CM
077.98 Unsp ds conjuc chlamydia
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About A74.0Overview

Is A74.0 (Other diseases caused by chlamydiae) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report chlamydial conjunctivitis on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does A74.0 group to?

When chlamydial conjunctivitis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of A74.0?

Under the General Equivalence Mappings, chlamydial conjunctivitis converts to ICD-9-CM 077.0 (inclusion conjunctivitis) and 077.98 (unsp ds conjuc chlamydia). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.