Chlamydia screening

Please note, this communication applies to Anthem HealthKeepers Plus, Medallion and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc.

 

Chances are, one of these teenagers has chlamydia. According to the Centers for Disease Control and Prevention (CDC), one of the largest growing populations for chlamydia are teens and young adults. Chlamydia infection is often asymptomatic, and screening for asymptomatic infection is a cost-effective strategy to reduce transmission and prevent pelvic inflammatory disease among females.

 

Talking to a teenager about sexual health issues like chlamydia can be difficult. But, left untreated, an affected individual may develop conditions such as pelvic inflammatory disease (PID), infertility, ectopic pregnancy, and chronic pelvic pain. Provider resources can help get the conversation started. To help get the conversation started, visit the National Chlamydia Coalition website at http://chlamydiacoalition.org for a free Chlamydia How-To Implementation Guide for Healthcare Providers.

 

Facts about chlamydia

 

• The United States Preventive Services Task Force (USPSTF) recommends screening for chlamydia in all sexually active women 24 years or younger and in women 25 years or older who are at risk for infection.
• Chlamydia is the most commonly reported sexually transmitted disease (STD) with over 1.8 million cases reported in 2019.

• Young women account for 43% of reported cases and face the most severe consequences of an undiagnosed infection.
• It is estimated that undiagnosed STDs cause infertility in more the 20,000 women each year.

 

Chlamydia Screening in Women (CHL) HEDIS^® Measure

 

This HEDIS measure looks at the percentage of women 16 to 24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement year, including teens and women who:

 

• Made comments or talked to you about sexual relations.
• Had a pregnancy test.
• Were prescribed birth control (even if used for acne treatment).
• Received gynecological services.
• Have a history of sexually transmitted diseases.
• Have a history of sexual assault or abuse.

  

Description	CPT® codes
Chlamydia tests	87110, 87270, 87320, 87490, 87492, 87810
Pregnancy test exclusion	81025, 84702, 84703

 

If you have any questions about this communication, call Anthem HealthKeepers Plus, Medallion Provider Services at 800‑901‑0020 or Anthem CCC Plus Provider Services at 855‑323‑4687.

 

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

 

AVA-NU-0578-22