Gonococcal infection of lower genitourinary tract, unspecified
ICD-10 A54.4 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. This infection can lead to a range of complications if left untreated, including pelvic inflammatory disease (PID) in women and epididymitis in men. Symptoms may include dysuria, increased urinary frequency, and purulent discharge. However, many individuals may be asymptomatic, particularly women, which complicates diagnosis and increases the risk of transmission. Gonococcal infections can also co-occur with other STIs, necessitating comprehensive testing and treatment. The unspecified nature of this code indicates that the specific site of infection within the lower genitourinary tract has not been documented, which can impact treatment decisions and public health reporting. Effective management includes appropriate antibiotic therapy, patient education on safe sexual practices, and contact tracing to prevent further spread of the infection.
Detailed patient history, including sexual history and symptomatology.
Diagnosis and management of gonococcal infections, treatment of co-infections.
Consideration of antibiotic resistance patterns in treatment.
Urological examination findings, patient symptoms, and treatment plans.
Management of urethritis and complications such as epididymitis.
Documentation of any surgical interventions or complications.
Used for confirming a gonococcal infection diagnosis.
Test results must be documented in the patient's medical record.
Infectious disease specialists should ensure comprehensive STI screening.
Document the patient's symptoms, test results, and any treatment provided. If the site of infection is unspecified, make sure to note that in the medical record.
