A56.11

Chlamydial female pelvic inflammatory disease

FY2027Chapter 1: Certain infectious and parasitic diseases/A50–A64 Infections with a predominantly sexual mode of transmission

BillableComplete code, valid to report

A56.11 (also written A5611) is a billable ICD-10-CM diagnosis code for chlamydial female pelvic inflammatory disease. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 10 codes in category A56 (Other sexually transmitted chlamydial diseases). The Alphabetic Index lists it under 7 entries. Its coding notes include a Use additional code instruction, 4 Excludes1 entries and 8 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (1 note)
Inherited from Chapter 1 Certain infectious and parasitic diseases
  • code to identify resistance to antimicrobial drugs (Z16.-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from A56 Other sexually transmitted chlamydial diseases
  • neonatal chlamydial conjunctivitis (P39.1)
  • neonatal chlamydial pneumonia (P23.1)
Also from chapter/block level (2 notes)
Inherited from A50–A64 Infections with a predominantly sexual mode of transmission
  • nonspecific and nongonococcal urethritis (N34.1)
  • Reiter's disease (M02.3-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from A56 Other sexually transmitted chlamydial diseases
  • chlamydial lymphogranuloma (A55)
  • conditions classified to A74.-
Also from chapter/block level (6 notes)
Inherited from A50–A64 Infections with a predominantly sexual mode of transmission
  • human immunodeficiency virus [HIV] disease (B20)
Inherited from Chapter 1 Certain infectious and parasitic diseases
  • carrier or suspected carrier of infectious disease (Z22.-)
  • certain localized infections - see body system-related chapters
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)
  • influenza and other acute respiratory infections (J00-J22)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Inherited from A56 Other sexually transmitted chlamydial diseases
  • sexually transmitted diseases due to Chlamydia
  • trachomatis
Also from chapter/block level (1 note)
Inherited from Chapter 1 Certain infectious and parasitic diseases
  • diseases generally recognized as communicable or transmissible

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 7 entries