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ICD-10 Guide
ICD-10 CodesA54.22

A54.22

Gonococcal prostatitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A54.22 is a billable code used to indicate a diagnosis of gonococcal prostatitis.

Key Diagnostic Point:

Gonococcal prostatitis is an inflammation of the prostate gland caused by the Neisseria gonorrhoeae bacterium, which is a sexually transmitted infection (STI). This condition typically arises in sexually active males and is often associated with other gonococcal infections, such as urethritis or epididymitis. Symptoms may include pelvic pain, dysuria, increased urinary frequency, and discomfort during ejaculation. Diagnosis is primarily made through clinical evaluation and laboratory testing, including urethral swabs or urine tests to detect the presence of gonococci. Treatment usually involves the administration of appropriate antibiotics, such as ceftriaxone or azithromycin, to eradicate the infection. It is crucial to also treat sexual partners to prevent reinfection and further spread of the disease. Gonococcal prostatitis can lead to complications if left untreated, including chronic pelvic pain syndrome or infertility. Therefore, timely diagnosis and management are essential.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of sexually transmitted infections and their complications.
  • Differentiation from other types of prostatitis can be challenging.
  • Documentation must clearly indicate the causative organism.
  • Need for accurate coding of associated conditions or complications.

Audit Risk Factors

  • Inadequate documentation of the causative organism.
  • Failure to document associated symptoms or complications.
  • Misclassification of prostatitis type.
  • Lack of treatment documentation.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Patients presenting with pelvic pain, dysuria, or urinary frequency.

Billing Considerations

Ensure clear documentation of the infectious agent and any associated STIs.

Infectious Disease

Documentation Requirements

Comprehensive history of sexual activity and STI screening results.

Common Clinical Scenarios

Patients with recurrent STIs or complications from untreated infections.

Billing Considerations

Focus on the management of the infection and partner notification.

Coding Guidelines

Inclusion Criteria

Use A54.22 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Gonococcal prostatitis should be coded only when confirmed by laboratory testing

Exclusion Criteria

Do NOT use A54.22 When
No specific exclusions found.

Related CPT Codes

87491CPT Code

Nucleic acid amplification test for gonorrhea

Clinical Scenario

Used when testing for gonococcal infection in patients with prostatitis symptoms.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Urology and Infectious Disease specialists should ensure accurate test interpretation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of gonococcal infections, improving the accuracy of data collection and treatment tracking for STIs.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of gonococcal infections, improving the accuracy of data collection and treatment tracking for STIs.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of gonococcal infections, improving the accuracy of data collection and treatment tracking for STIs.

Resources

Clinical References

  • •
    CDC Gonorrhea Treatment Guidelines

Coding & Billing References

  • •
    CDC Gonorrhea Treatment Guidelines

Frequently Asked Questions

What are the common symptoms of gonococcal prostatitis?

Common symptoms include pelvic pain, dysuria, increased urinary frequency, and discomfort during ejaculation.

How is gonococcal prostatitis diagnosed?

Diagnosis is made through clinical evaluation and laboratory tests, including urethral swabs or urine tests to detect Neisseria gonorrhoeae.

What is the treatment for gonococcal prostatitis?

Treatment typically involves antibiotics such as ceftriaxone or azithromycin, and it is important to treat sexual partners as well.