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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 A55

Billable / Specific

Chlamydial lymphogranuloma (venereum)

A55
Block
4
Synonyms
98
LCDs
3
Payer Policies
19
Linked CPTs

About ICD-10-CM A55

ICD-10-CM code A55 represents Chlamydial lymphogranuloma (venereum). This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A55). The 2026 edition of ICD-10-CM A55 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under A55. Per CMS ICD-10-CM Tabular 2026.

  • Climatic or tropical bubo
  • Durand-Nicolas-Favre disease
  • Esthiomene
  • Lymphogranuloma inguinale

Medicare LCD Coverage for A55

Local Coverage Determinations (LCDs) from CMS MACs that list A55 as a covered diagnosis.

98 LCDs

Showing top 10 of 98 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Article ID: 56632, Effective: 2025-10-01 00:00:00, 558 covered, 0 non-covered
CPT 45341 →
CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Article ID: 56632, Effective: 2025-10-01 00:00:00, 558 covered, 0 non-covered
CPT 45331 →
CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Article ID: 56632, Effective: 2025-10-01 00:00:00, 558 covered, 0 non-covered
CPT 45398 →
CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Article ID: 56632, Effective: 2025-10-01 00:00:00, 558 covered, 0 non-covered
CPT G9999 →
CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Article ID: 56632, Effective: 2025-10-01 00:00:00, 558 covered, 0 non-covered
CPT 44392 →
CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Article ID: 56632, Effective: 2025-10-01 00:00:00, 558 covered, 0 non-covered
CPT 45386 →
CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Article ID: 56632, Effective: 2025-10-01 00:00:00, 558 covered, 0 non-covered
CPT 45378 →
CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Article ID: 56632, Effective: 2025-10-01 00:00:00, 558 covered, 0 non-covered
CPT 45305 →
CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Article ID: 56632, Effective: 2025-10-01 00:00:00, 558 covered, 0 non-covered
CPT 45309 →
CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Article ID: 56632, Effective: 2025-10-01 00:00:00, 558 covered, 0 non-covered
CPT 44390 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A55.

3 policies

1 Cigna

Nucleic Acid Pathogen Testing - (0530)
Policy ID: MM_0530

2 Medicare

Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Policy ID: ART-56456
Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Policy ID: ART-56632

CPT Codes Commonly Billed with A55

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

19 linkages
  • 45307 CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy CMS LCD
  • 45309 CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy CMS LCD
  • 45308 CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy CMS LCD
  • 45303 CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy CMS LCD
  • 45321 CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy CMS LCD
  • 45347 CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy CMS LCD
  • 45320 CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy CMS LCD
  • 0885T CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy CMS LCD
  • 45327 CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy CMS LCD
  • 45317 CMS LCD: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy CMS LCD

Convert A55 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
A55 0991 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 A55, Billing FAQ

Is ICD-10 code A55 billable? +

Yes, A55 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to A55? +

ICD-10 A55 includes: Climatic or tropical bubo; Durand-Nicolas-Favre disease; Esthiomene, and 1 more clinical synonyms.

What CPT codes are commonly billed with A55? +

Procedures frequently paired with A55 include: 45307, 45309, 45308, 45303, 45321.

What ICD-9 codes does A55 map to? +

Per CMS GEMs, A55 maps to ICD-9 codes: 0991. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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