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2025 ICD-10-CM code A54.23

Gonococcal infection of other male genital organs. This includes gonococcal epididymitis and gonococcal orchitis.

Use additional code to identify resistance to antimicrobial drugs (Z16.-). Do not use this code for gonococcal infection of the prostate.

Medical necessity is established by the presence of signs, symptoms, and laboratory confirmation of gonococcal infection of the male genital organs.

Diagnosis is based on physical examination, blood tests, and cultures of fluids or discharge. Other lab tests such as DNA probe, PCR, and LCR may also be used. Ultrasound may be helpful. Treatment usually involves antibiotic therapy, such as ceftriaxone and azithromycin or doxycycline. Treatment of sexual partners is often recommended.

In simple words: This code refers to a sexually transmitted infection caused by gonorrhea bacteria that affects the male genital organs, excluding the prostate. It covers infections like epididymitis (inflammation of the epididymis) and orchitis (inflammation of the testicle).

Gonococcal infection of other male genital organs refers to manifestations of a venereal disease which affects the male genital organs other than the prostate. It is caused by the bacterium Neisseria gonorrhoeae, transmitted sexually. This code is used when the provider documents gonococcal infection of specific male genital organs not named in any other code.

Example 1: A 25-year-old male presents with painful urination, testicular pain, and swelling. After examination and laboratory testing, he is diagnosed with gonococcal epididymitis., A 30-year-old male with a history of unprotected sex experiences pain and swelling in one testicle. A culture confirms gonococcal orchitis., A male patient presents with symptoms suggestive of a urinary tract infection. Further tests reveal gonococcal infection of the seminal vesicles.

Documentation should include signs and symptoms, physical examination findings, laboratory results (e.g., cultures, Gram stain, NAAT), and details of treatment.

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