2025 ICD-10-CM code A54.9
Gonococcal infection, unspecified.
Medical necessity is established by the signs, symptoms, and laboratory confirmation of gonococcal infection. When the specific site isn't identified, A54.9 is the appropriate code to capture the diagnosis.
Diagnosis of gonococcal infection based on physical exam, blood tests, cultures, and possibly DNA probe, PCR, or LCR. Treatment includes antibiotic therapy, often ceftriaxone with azithromycin or doxycycline.
In simple words: This code represents a gonorrhea infection where the exact location isn't specified in the medical records.
This code indicates a gonococcal infection where the specific site of infection is not documented.
Example 1: A patient presents with symptoms suggestive of gonorrhea, but the specific site of infection is not identified through testing or examination., A patient is diagnosed with disseminated gonococcal infection (DGI), but the initial site of infection is unknown., A patient has a history of gonococcal infection but presents with generalized symptoms and no localized findings to pinpoint a current site of infection.
Symptoms, physical exam findings, lab results (cultures, blood tests, and potentially DNA probe, PCR, or LCR), and treatment provided. If available, the specific site of infection or any related complications should be documented. The absence of specific site information should be explicitly noted to justify use of A54.9.
- Payment Status: Active
- Specialties:Infectious Disease, Urology, Gynecology, Family Medicine, Internal Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Public Health Clinic