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2025 ICD-10-CM code A54.4

Gonococcal infection of the musculoskeletal system.

Use additional codes to specify the affected joint(s) and any other related conditions.

Medical necessity is established by the presence of a gonococcal infection affecting the musculoskeletal system, confirmed by appropriate diagnostic tests. Treatment is necessary to prevent long-term joint damage and other complications.

Clinicians should diagnose based on physical examination, blood tests, and cultures. Treatment typically involves antibiotics like ceftriaxone and azithromycin or doxycycline. Joint aspiration or surgical debridement may be necessary.

In simple words: This code represents a complication of gonorrhea, a sexually transmitted infection, where the infection affects the muscles, bones, and joints, causing pain and inflammation.

This code indicates a gonococcal infection affecting the musculoskeletal system, including muscles, bones, and joints. It's a complication of gonorrhea, a sexually transmitted infection (STI) caused by the bacteria Neisseria gonorrhoeae. The bacteria can spread to the musculoskeletal system through the bloodstream or directly through an open wound.

Example 1: A 25-year-old female presents with fever, joint pain, and swelling in her knee. Cultures confirm a gonococcal infection., A 30-year-old male with a history of untreated gonorrhea develops pain and limited range of motion in his ankle. Diagnostic tests confirm gonococcal arthritis., An infant born to a mother with gonorrhea develops irritability, fever, and spontaneous limb movement. Tests reveal gonococcal infection of the musculoskeletal system.

Documentation should include evidence of gonococcal infection, affected joints, and associated symptoms. Lab results, cultures, and imaging studies should support the diagnosis.

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