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v1.0.0
ICD-10 Guide
ICD-10 CodesA54.84

A54.84

Gonococcal pneumonia

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

Code Description

ICD-10 A54.84 is a billable code used to indicate a diagnosis of gonococcal pneumonia.

Key Diagnostic Point:

Gonococcal pneumonia is a rare but serious complication of gonorrhea, primarily affecting infants born to mothers with untreated gonococcal infections. The condition arises when Neisseria gonorrhoeae, the bacterium responsible for gonorrhea, spreads to the lungs, leading to pneumonia. Symptoms may include cough, fever, difficulty breathing, and chest pain. Diagnosis is typically confirmed through culture or PCR testing of respiratory secretions. Gonococcal pneumonia is more common in neonates, particularly those who have been exposed to the bacteria during delivery. Treatment involves the use of appropriate antibiotics, such as ceftriaxone or azithromycin, to effectively eradicate the infection. Prompt recognition and treatment are crucial to prevent severe complications, including respiratory failure. In adults, gonococcal pneumonia is extremely rare and usually occurs in the context of disseminated gonococcal infection. Public health measures, including contact tracing and screening of sexual partners, are essential to control the spread of gonorrhea and prevent cases of gonococcal pneumonia.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition makes it less familiar to coders.
  • Requires understanding of both respiratory and sexually transmitted infection coding.
  • Potential for misclassification with other types of pneumonia.
  • Need for accurate documentation of sexual history and exposure.

Audit Risk Factors

  • Inadequate documentation of sexual history.
  • Failure to document the source of infection.
  • Misdiagnosis or misclassification of pneumonia type.
  • Lack of follow-up documentation on treatment response.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of sexual exposure, laboratory confirmation of gonococcal infection, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of gonococcal infections, including pneumonia in neonates.

Billing Considerations

Ensure all relevant tests and treatments are documented to support the diagnosis.

Pediatrics

Documentation Requirements

Complete birth history, maternal health records, and any signs of respiratory distress in the infant.

Common Clinical Scenarios

Management of newborns presenting with respiratory symptoms and maternal gonorrhea.

Billing Considerations

Documentation must clearly link the infant's symptoms to maternal infection.

Coding Guidelines

Inclusion Criteria

Use A54.84 When
  • Follow the official ICD
  • CM coding guidelines for infectious diseases and pneumonia
  • Ensure that the diagnosis is supported by clinical documentation, including laboratory results and treatment plans

Exclusion Criteria

Do NOT use A54.84 When
No specific exclusions found.

Related CPT Codes

87070CPT Code

Culture, bacterial, any source

Clinical Scenario

Used to confirm the diagnosis of gonococcal pneumonia.

Documentation Requirements

Document the site of culture and results.

Specialty Considerations

Infectious disease specialists should ensure cultures are properly labeled and processed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of gonococcal pneumonia, improving data accuracy and enabling better tracking of sexually transmitted infections.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of gonococcal pneumonia, improving data accuracy and enabling better tracking of sexually transmitted infections.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of gonococcal pneumonia, improving data accuracy and enabling better tracking of sexually transmitted infections.

Resources

Clinical References

  • •
    CDC Gonorrhea Treatment Guidelines

Coding & Billing References

  • •
    CDC Gonorrhea Treatment Guidelines

Frequently Asked Questions

What are the common symptoms of gonococcal pneumonia?

Common symptoms include cough, fever, difficulty breathing, and chest pain, particularly in infants.

How is gonococcal pneumonia diagnosed?

Diagnosis is typically made through culture or PCR testing of respiratory secretions.

What is the treatment for gonococcal pneumonia?

Treatment usually involves antibiotics such as ceftriaxone or azithromycin.