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ICD-10 Guide
ICD-10 CodesA54.32

A54.32

Gonococcal iridocyclitis

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

Code Description

ICD-10 A54.32 is a billable code used to indicate a diagnosis of gonococcal iridocyclitis.

Key Diagnostic Point:

Gonococcal iridocyclitis is an inflammatory condition of the iris and ciliary body caused by the Neisseria gonorrhoeae bacterium, which is primarily known for causing gonorrhea, a sexually transmitted infection (STI). This condition can occur when the bacteria spread from the genital tract to the eye, leading to symptoms such as redness, pain, photophobia, and blurred vision. The inflammation can result in complications such as glaucoma or vision loss if not treated promptly. Diagnosis typically involves a thorough clinical examination, including slit-lamp examination, and may require laboratory confirmation through cultures or polymerase chain reaction (PCR) testing. Treatment usually involves systemic antibiotics, with ceftriaxone being the first-line therapy. Additionally, managing associated symptoms and complications is crucial for preserving vision and preventing further ocular damage. Gonococcal iridocyclitis is a rare but serious manifestation of gonococcal infection, highlighting the importance of early detection and treatment of STIs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of both ocular and STI coding.
  • Potential for misdiagnosis with other forms of iridocyclitis.
  • Need for accurate documentation of the infectious source.
  • Involves understanding of associated symptoms and complications.

Audit Risk Factors

  • Inadequate documentation of the infectious etiology.
  • Failure to document associated symptoms or complications.
  • Lack of evidence for STI screening in the patient’s history.
  • Misclassification of the condition as non-infectious iridocyclitis.

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed clinical notes on ocular examination findings, including visual acuity and slit-lamp examination results.

Common Clinical Scenarios

Patients presenting with eye pain, redness, and a history of gonorrhea or other STIs.

Billing Considerations

Documentation must clearly link the ocular symptoms to the gonococcal infection.

Infectious Disease

Documentation Requirements

Comprehensive history of sexual activity, STI screening results, and treatment plans.

Common Clinical Scenarios

Patients with systemic gonococcal infections presenting with ocular symptoms.

Billing Considerations

Coordination with ophthalmology for management of ocular symptoms.

Coding Guidelines

Inclusion Criteria

Use A54.32 When
  • According to ICD
  • 10 coding guidelines, A54
  • 32 should be used when the iridocyclitis is specifically attributed to gonococcal infection
  • It is important to document the infectious source and any related complications
  • infectious causes

Exclusion Criteria

Do NOT use A54.32 When
  • Exclusion criteria include iridocyclitis due to non

Related CPT Codes

92002CPT Code

Ophthalmological examination, new patient

Clinical Scenario

Used when a new patient presents with symptoms of gonococcal iridocyclitis.

Documentation Requirements

Complete history and examination findings.

Specialty Considerations

Ophthalmologists should document the link to the STI.

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 and their complications, improving the accuracy of data collection and treatment tracking.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC Gonorrhea Treatment Guidelines

Coding & Billing References

  • •
    CDC Gonorrhea Treatment Guidelines

Frequently Asked Questions

What are the common symptoms of gonococcal iridocyclitis?

Common symptoms include eye pain, redness, photophobia, and blurred vision. Patients may also have a history of gonorrhea or other STIs.

How is gonococcal iridocyclitis treated?

Treatment typically involves systemic antibiotics, with ceftriaxone being the first-line therapy. Management of symptoms and complications is also important.