Gonococcal infection, unspecified.
ICD-10 A54.9 is a billable code used to indicate a diagnosis of gonococcal infection, unspecified..
Gonococcal infection, caused by the bacterium Neisseria gonorrhoeae, is a sexually transmitted infection (STI) that primarily affects the mucous membranes of the urogenital tract, rectum, and throat. The infection can manifest in various forms, including urethritis, cervicitis, pelvic inflammatory disease (PID), and disseminated gonococcal infection (DGI). Symptoms may include dysuria, increased vaginal or penile discharge, and abdominal pain, although many individuals may be asymptomatic. The unspecified nature of this code indicates that the specific site of infection is not documented, which can complicate treatment and management. Gonococcal infections are often co-infected with other STIs, such as chlamydia, necessitating comprehensive screening and treatment. Effective management includes the use of appropriate antibiotics, with the Centers for Disease Control and Prevention (CDC) recommending dual therapy with ceftriaxone and azithromycin. Contact tracing is crucial to prevent further transmission, as gonorrhea is highly contagious. Public health initiatives emphasize the importance of education, regular screenings, and safe sex practices to reduce the incidence of gonococcal infections.
Detailed patient history, including sexual history and symptoms.
Diagnosis of gonorrhea in symptomatic patients, asymptomatic screening in high-risk populations.
Consideration of antibiotic resistance patterns in treatment.
Documentation of pelvic exams, lab results, and treatment plans.
Management of cervicitis or PID due to gonococcal infection.
Importance of screening pregnant patients for STIs.
Used for diagnosing gonorrhea in symptomatic and asymptomatic patients.
Document the reason for testing and results.
Infectious disease specialists may require additional lab results.
A54.9 should be used when the specific site of gonococcal infection is not documented in the medical record. If the site is known, a more specific code should be used.
