Gonococcal infection of lower genitourinary tract, unspecified
ICD-10 A54.3 is a billable code used to indicate a diagnosis of gonococcal infection of lower genitourinary tract, unspecified.
Gonococcal infection of the lower genitourinary tract is caused by the bacterium Neisseria gonorrhoeae, a sexually transmitted infection (STI) that primarily affects the urethra in men and the cervix in women. Symptoms may include dysuria, increased urinary frequency, and purulent discharge. In women, it can lead to pelvic inflammatory disease (PID) if left untreated. The infection is often asymptomatic, particularly in women, which complicates diagnosis and increases the risk of transmission. Gonococcal infections can also co-occur with other STIs, necessitating comprehensive screening and treatment. The unspecified designation indicates that the documentation does not specify the exact site of infection within the lower genitourinary tract, which may affect treatment decisions and contact tracing efforts. Prompt diagnosis and treatment are critical to prevent complications and further transmission.
Detailed patient history, including sexual history and previous STI infections.
Diagnosis and management of gonococcal infections, treatment of co-infections.
Consideration of local resistance patterns to antibiotics when prescribing treatment.
Documentation of urinary symptoms, physical examination findings, and any diagnostic tests performed.
Evaluation of dysuria and discharge in male patients, management of complications such as epididymitis.
Need for clear documentation of the site of infection to guide treatment.
Used for confirming a diagnosis of gonococcal infection.
Document the reason for testing and patient consent.
Infectious disease specialists should ensure comprehensive STI screening.
Document the patient's symptoms, any diagnostic tests performed, and the treatment plan. If the site of infection is not specified, ensure that this is clearly noted in the medical record.
