ICD-10 Code A54.29 | Other gonococcal genitourinary infections Symptoms, Diagnosis, Billing

Other gonococcal genitourinary infections are caused by the bacterium Neisseria gonorrhoeae, leading to various infections in the genitourinary tract. These infections can result in significant morbidity if left untreated, including complications such as infertility and chronic pelvic pain. The ICD-10 Code A54.29 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track these infections.

What is ICD-10 Code A54.29 for Other gonococcal genitourinary infections?

ICD-10 Code A54.29 represents Other gonococcal genitourinary infections, which encompass infections caused by Neisseria gonorrhoeae that do not fall under more specific categories. This code is used in clinical documentation and billing when a patient presents with symptoms indicative of gonococcal infection, allowing for appropriate treatment and management of the condition.

ICD-10 Code A54.29 – Clinical Definition and Explanation of Other gonococcal genitourinary infections

Other gonococcal genitourinary infections are primarily caused by the bacterium Neisseria gonorrhoeae, which can lead to a range of clinical manifestations in the genitourinary system. Prompt medical attention is crucial to prevent complications such as pelvic inflammatory disease and infertility.

Key Clinical Features:

• Dysuria or painful urination
• Purulent discharge from the urethra or cervix
• Pelvic pain or discomfort
• Increased urinary frequency

ICD-10 Code A54.29 for Other gonococcal genitourinary infections – SOAP Notes & Clinical Use

ICD-10 Code A54.29 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plan for gonococcal infections. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.

What Does ICD-10 Code A54.29 for Other gonococcal genitourinary infections Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A54.29 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of gonococcal infection. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A54.29 – Other gonococcal genitourinary infections

The management of Other gonococcal genitourinary infections requires prompt treatment to prevent complications. Antibiotic therapy is the cornerstone of treatment.

Antibiotic Therapy:

• Ceftriaxone 250 mg IM in a single dose
• Azithromycin 1 g orally in a single dose (alternative)
• Doxycycline 100 mg orally twice daily for 7 days (alternative)

Supportive Care:

• Hydration and pain management
• Patient education on safe sexual practices
• Follow-up testing for reinfection

Infection Control:

• Encourage notification of sexual partners
• Implement safe sex practices to prevent transmission
• Consider screening in high-risk populations during outbreaks

How to Document Symptoms of Other gonococcal genitourinary infections (ICD-10 A54.29) in SOAP Notes

Subjective:

• Patient reports dysuria and increased urinary frequency.
• Noted purulent discharge from the urethra.
• History of unprotected sexual intercourse with multiple partners.
• Complaints of pelvic pain.

Objective:

• Physical examination reveals tenderness in the lower abdomen.
• Purulent discharge observed on examination.
• Urinalysis shows leukocytes and nitrites.
• Cervical examination indicates cervicitis.

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SOAP Note Guidelines for Diagnosing Other gonococcal genitourinary infections (ICD-10 Code A54.29)

Assessment:

• Diagnosis: Other gonococcal genitourinary infections, moderate severity.
• ICD-10 Code: A54.29.
• Contributing factors: Recent unprotected sexual activity.
• Consider differential diagnoses such as urinary tract infection.

Plan:

• Initiate ceftriaxone 250 mg IM and azithromycin 1 g orally.
• Educate patient on safe sexual practices and the importance of partner notification.
• Schedule follow-up appointment in one week for reassessment.
• Consider testing for other STIs.

Treatment & Plan Section for ICD-10 Code A54.29 – Other gonococcal genitourinary infections

• First-line pharmacologic treatment includes ceftriaxone and azithromycin.
• Non-pharmacologic strategies involve patient education on safe sex practices.
• Monitoring includes follow-up testing for reinfection and symptom resolution.
• Follow-up practices should include reassessment within one week.

Using ICD-10 Code A54.29 for Other gonococcal genitourinary infections in Billing & SOAP Note Compliance

• Select accurate subcodes based on clinical severity or complications.
• Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Only list CPT codes that are commonly billed with ICD-10 Code A54.29.

Related ICD-10 Codes Often Used with Other gonococcal genitourinary infections

• A54.00 – Gonococcal infection of unspecified site
• A54.01 – Gonococcal infection of the urethra
• A54.02 – Gonococcal infection of the cervix
• A54.03 – Gonococcal infection of the rectum

ICD-10 Code A54.29 in Medical Billing and Insurance for Other gonococcal genitourinary infections

ICD-10 Code A54.29 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed patient history and clinical findings.
• Use this code in settings where gonococcal infections are diagnosed and treated.
• Highlight key chart elements such as symptoms, treatment plans, and follow-up care.
• Maintain compliance with coding guidelines to support accurate claims.

Common CPT Pairings: