2025 ICD-10-CM code A54.21
Gonococcal infection of the kidney and ureter.
Medical necessity is established by the presence of signs, symptoms, and laboratory confirmation of gonococcal infection affecting the kidney and ureter.
A patient with gonococcal infection of the kidney and/or ureter may experience painful and burning urination, pain and tenderness in the lower abdomen, fever, chills, and nausea and vomiting. Providers diagnose the condition based on the patient’s physical examination, blood tests, and culture of fluids or discharge from the areas affected. Other laboratory tests such as deoxyribonucleic acid (DNA) probe, polymerase chain reaction (PCR), and ligase chain reaction (LCR) can be helpful for diagnosis. Treatment includes antibiotic therapy with an intramuscular injection of ceftriaxone combined with oral azithromycin or doxycycline.
- Certain infectious and parasitic diseases (A00-B99)
- Infections with a predominantly sexual mode of transmission (A50-A64)
In simple words: This condition is a sexually transmitted infection that affects the kidneys and the tubes that connect the kidneys to the bladder. It's caused by bacteria called Neisseria gonorrhoeae.
Gonococcal infection of the kidney and ureter refers to manifestations of a venereal disease which affects the upper renal system. It is caused by the bacterium Neisseria gonorrhoeae, transmitted sexually.
Example 1: A 25-year-old male presents with complaints of painful urination, lower abdominal pain, and fever. A urine culture reveals Neisseria gonorrhoeae, and imaging studies confirm infection of the kidney and ureter., A 30-year-old female with a history of recurrent urinary tract infections presents with flank pain, fever, and chills. Diagnostic testing identifies Neisseria gonorrhoeae as the causative agent, indicating gonococcal infection of the kidney and ureter., A 28-year-old male with a known history of gonorrhea experiences sudden onset of severe flank pain and hematuria. Imaging reveals gonococcal infection extending to the kidney and ureter.
Documentation should include signs and symptoms, physical exam findings, laboratory results (positive culture for Neisseria gonorrhoeae), and imaging studies confirming kidney and ureter involvement.
- Specialties:Urology, Infectious Disease
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital