ICD-10 Code A54.23 | Gonococcal infection of other male genital organs Symptoms, Diagnosis, Billing

Gonococcal infection of other male genital organs is caused by the bacterium Neisseria gonorrhoeae, leading to inflammation and potential complications in male reproductive structures beyond the urethra. This condition is clinically significant due to its association with other sexually transmitted infections (STIs) and potential long-term reproductive health issues. The ICD-10 Code A54.23 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring appropriate treatment and tracking of infection rates.

What is ICD-10 Code A54.23 for Gonococcal infection of other male genital organs?

ICD-10 Code A54.23 represents Gonococcal infection of other male genital organs, indicating an infection caused by Neisseria gonorrhoeae affecting areas such as the epididymis or prostate. This code should be used in clinical documentation and billing when a patient presents with symptoms or complications related to gonococcal infections outside the urethra, ensuring proper treatment and follow-up.

ICD-10 Code A54.23 – Clinical Definition and Explanation of Gonococcal infection of other male genital organs

Gonococcal infection of other male genital organs is primarily caused by the bacterium Neisseria gonorrhoeae, which can lead to serious complications if left untreated. The infection may progress to involve the epididymis, prostate, or other structures, necessitating prompt medical attention to prevent long-term reproductive health issues.

Key Clinical Features:

• Painful urination and discharge from the penis.
• Swelling and tenderness in the testicles or groin.
• Fever and systemic symptoms in severe cases.
• Potential complications such as epididymitis or prostatitis.

ICD-10 Code A54.23 for Gonococcal infection of other male genital organs – SOAP Notes & Clinical Use

ICD-10 Code A54.23 is utilized in SOAP notes to document the presence of gonococcal infection in male genital organs beyond the urethra. It plays a crucial role in capturing symptoms, assessments, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code A54.23 for Gonococcal infection of other male genital organs Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A54.23 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of gonococcal infection. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A54.23 – Gonococcal infection of other male genital organs

Gonococcal infection of other male genital organs requires prompt treatment to prevent complications. Hospitalization may be necessary in severe cases, and appropriate antibiotic therapy is critical.

Antibiotic Therapy:

• Ceftriaxone 250 mg IM in a single dose.
• Azithromycin 1 g orally in a single dose as an alternative.
• Consider dual therapy for resistant strains.

Supportive Care:

• Pain management with NSAIDs.
• Hydration and rest.
• Education on safe sexual practices.

Infection Control:

• Advise patients to inform sexual partners.
• Encourage testing for other STIs.
• Implement safe sex practices to prevent transmission.

How to Document Symptoms of Gonococcal infection of other male genital organs (ICD-10 A54.23) in SOAP Notes

Subjective:

• Patient reports painful urination and penile discharge.
• History of recent unprotected sexual contact.
• Complaints of testicular pain and swelling.
• Fever and malaise noted by the patient.

Objective:

• Physical examination reveals erythema and swelling of the scrotum.
• Tenderness on palpation of the epididymis.
• Purulent discharge observed from the urethra.
• Vital signs show mild fever (100.4°F).

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SOAP Note Guidelines for Diagnosing Gonococcal infection of other male genital organs (ICD-10 Code A54.23)

Assessment:

• Diagnosis: Gonococcal infection of other male genital organs, moderate severity.
• ICD-10 Code: A54.23.
• Contributing factors: Recent unprotected sexual activity.
• Potential complications include epididymitis.

Plan:

• Initiate treatment with Ceftriaxone 250 mg IM.
• Educate patient on safe sexual practices and partner notification.
• Schedule follow-up in one week to reassess symptoms.
• Consider testing for other STIs.

Treatment & Plan Section for ICD-10 Code A54.23 – Gonococcal infection of other male genital organs

• First-line treatment with Ceftriaxone and Azithromycin.
• Patient education on STI prevention and partner notification.
• Monitoring for symptom resolution and potential complications.
• Follow-up appointment to ensure treatment efficacy.

Using ICD-10 Code A54.23 for Gonococcal infection of other male genital organs in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use A54.23 for billing when gonococcal infection is confirmed.
• Align treatment plans with clinical guidelines for justified billing.
• Include relevant CPT codes for associated services.

Related ICD-10 Codes Often Used with Gonococcal infection of other male genital organs

• A54.00 – Gonococcal infection of the urethra
• A54.01 – Gonococcal infection of the cervix
• A54.21 – Gonococcal infection of the rectum
• A54.22 – Gonococcal infection of the pharynx

ICD-10 Code A54.23 in Medical Billing and Insurance for Gonococcal infection of other male genital organs

ICD-10 Code A54.23 is essential for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant symptoms and clinical findings to support the diagnosis.
• Use A54.23 in conjunction with appropriate CPT codes for billing.
• Ensure compliance with coding guidelines to avoid claim denials.
• Maintain thorough documentation of treatment plans and follow-up care.

Common CPT Pairings: