ICD-10 Code A54.24 | Gonococcal female pelvic inflammatory disease Symptoms, Diagnosis, Billing

Gonococcal female pelvic inflammatory disease is an infection of the female reproductive organs caused by Neisseria gonorrhoeae. It is clinically significant due to its potential to cause severe complications such as infertility, ectopic pregnancy, and chronic pelvic pain. Accurate coding with ICD-10 Code A54.24 ensures proper diagnosis, documentation, and billing, facilitating effective public health reporting and management of this infectious disease.

What is ICD-10 Code A54.24 for Gonococcal female pelvic inflammatory disease?

ICD-10 Code A54.24 specifically denotes Gonococcal female pelvic inflammatory disease, which arises from the spread of gonorrheal infection to the pelvic organs. This code should be utilized in clinical documentation when diagnosing patients with this condition, ensuring accurate billing and appropriate treatment protocols are followed.

ICD-10 Code A54.24 – Clinical Definition and Explanation of Gonococcal female pelvic inflammatory disease

Gonococcal female pelvic inflammatory disease is primarily caused by the bacterium Neisseria gonorrhoeae, which can ascend from the cervix to the uterus and fallopian tubes, leading to inflammation and infection. Prompt medical attention is crucial to prevent complications such as infertility and chronic pain.

Key Clinical Features:

• Lower abdominal pain or tenderness
• Fever and chills
• Abnormal vaginal discharge
• Pain during intercourse

ICD-10 Code A54.24 for Gonococcal female pelvic inflammatory disease – SOAP Notes & Clinical Use

ICD-10 Code A54.24 is utilized in SOAP notes to document the patient's symptoms, clinical assessment, and treatment plan. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management.

What Does ICD-10 Code A54.24 for Gonococcal female pelvic inflammatory disease Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A54.24 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Gonococcal female pelvic inflammatory disease. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A54.24 – Gonococcal female pelvic inflammatory disease

Gonococcal female pelvic inflammatory disease requires prompt treatment to prevent serious complications. Hospitalization may be necessary for severe cases.

Antibiotic Therapy:

• Ceftriaxone 250 mg IM once plus Azithromycin 1 g orally once
• Alternative: Doxycycline 100 mg orally twice daily for 14 days

Supportive Care:

• Pain management with NSAIDs
• Hydration and rest
• Monitoring for complications

Infection Control:

• Patient education on safe sex practices
• Notification of sexual partners for testing and treatment
• Follow-up testing to ensure resolution of infection

How to Document Symptoms of Gonococcal female pelvic inflammatory disease (ICD-10 A54.24) in SOAP Notes

Subjective:

• Patient reports lower abdominal pain and fever.
• History of abnormal vaginal discharge for the past week.
• Increased pain during intercourse noted.
• Recent unprotected sexual contact.

Objective:

• Vital signs: Temperature 101°F, pulse 88 bpm.
• Abdominal examination reveals tenderness in the lower quadrants.
• Pelvic examination shows cervical motion tenderness.
• Purulent discharge observed from the cervix.

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SOAP Note Guidelines for Diagnosing Gonococcal female pelvic inflammatory disease (ICD-10 Code A54.24)

Assessment:

• Diagnosis: Gonococcal female pelvic inflammatory disease, moderate severity.
• ICD-10 Code: A54.24.
• Contributing factors: Recent unprotected sexual intercourse.
• Potential complications include infertility and chronic pelvic pain.

Plan:

• Initiate antibiotic therapy as per guidelines.
• Educate patient on safe sexual practices and the importance of partner notification.
• Schedule follow-up appointment in one week to assess treatment response.
• Consider referral to a specialist if symptoms persist.

Treatment & Plan Section for ICD-10 Code A54.24 – Gonococcal female pelvic inflammatory disease

• First-line treatment includes Ceftriaxone and Azithromycin.
• Non-pharmacologic strategies include patient education on safe sex.
• Monitor treatment response with follow-up appointments.
• Consider additional testing for other STIs.

Using ICD-10 Code A54.24 for Gonococcal female pelvic inflammatory disease in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use A54.24 for billing when diagnosing Gonococcal female pelvic inflammatory disease.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Gonococcal female pelvic inflammatory disease

• A54.9 – Gonococcal infection, unspecified
• N70.0 – Acute salpingitis
• N73.9 – Female pelvic inflammatory disease, unspecified
• A54.21 – Gonococcal cervicitis

ICD-10 Code A54.24 in Medical Billing and Insurance for Gonococcal female pelvic inflammatory disease

ICD-10 Code A54.24 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant symptoms and clinical findings to support the diagnosis.
• Use A54.24 in conjunction with appropriate CPT codes for billing.
• Ensure that documentation reflects the severity and complexity of the case.
• Maintain compliance with coding guidelines to avoid claim denials.

Common CPT Pairings: