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2025 ICD-10-CM code A54.30

Gonococcal infection of the eye, unspecified.

If the specific part of the eye affected is known, a more specific code should be used.If both eyes are affected, and separate codes exist for bilateral involvement, those should be used.A54.30 is appropriate when the location within the eye is unspecified.

Medical necessity for treatment is established by the diagnosis of gonococcal eye infection. The potential for serious complications, including blindness, necessitates prompt treatment.

Clinicians should document the specific eye structures involved, if known (e.g., conjunctiva, cornea), and whether one or both eyes are affected.Additional codes may be necessary to fully capture the patient's condition. Treatment typically involves antibiotics.

In simple words: This code represents an eye infection caused by the same bacteria that causes gonorrhea.The infection can affect different parts of the eye, and this code is used when the specific part isn't specified in the diagnosis.

This code indicates a gonococcal infection affecting the eye, without specifying the particular structure of the eye affected (e.g., conjunctiva, cornea, iris) or whether one or both eyes are involved.It's crucial to differentiate this from other forms of conjunctivitis or eye infections.

Example 1: A newborn presents with purulent discharge from both eyes shortly after birth. The mother has a history of untreated gonorrhea.A54.30 would be appropriate if the specific eye structures affected are not yet determined., An adult patient reports eye pain, redness, and discharge.Testing confirms a gonococcal infection, but further examination is needed to determine the exact location within the eye. A54.30 is used initially., A patient with known gonorrhea accidentally touches their eye after contact with genital secretions. They develop conjunctivitis.If the infection has not yet spread beyond the conjunctiva, a more specific code may be appropriate, but A54.30 covers the gonococcal nature of the conjunctivitis.

Documentation should include signs and symptoms, diagnostic test results confirming the gonococcal infection, and details of the affected eye structures, if available. The route of transmission (e.g., perinatal, sexual contact) should also be noted if known.

** It's essential to consider related diagnoses, such as the underlying gonorrhea infection, which should also be coded.

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