ICD-10 Code A54.32 | Gonococcal iridocyclitis Symptoms, Diagnosis, Billing

Gonococcal iridocyclitis is an inflammatory condition of the iris and ciliary body caused by Neisseria gonorrhoeae infection. It is clinically significant due to its potential to cause vision impairment and complications if left untreated. Accurate coding with ICD-10 Code A54.32 facilitates proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage this infectious condition effectively.

What is ICD-10 Code A54.32 for Gonococcal iridocyclitis?

ICD-10 Code A54.32 specifically denotes Gonococcal iridocyclitis, an ocular manifestation of gonorrheal infection. This code should be used when documenting cases of iridocyclitis linked to Neisseria gonorrhoeae, particularly in patients presenting with ocular symptoms following a gonococcal infection. Proper use of this code is essential for accurate clinical documentation and billing.

ICD-10 Code A54.32 – Clinical Definition and Explanation of Gonococcal iridocyclitis

Gonococcal iridocyclitis is caused by the spread of Neisseria gonorrhoeae to the eye, leading to inflammation of the iris and ciliary body. This condition can progress rapidly, necessitating prompt medical intervention to prevent complications such as vision loss. Early recognition and treatment are crucial.

Key Clinical Features:

• Acute onset of eye pain and redness.
• Photophobia and blurred vision.
• Possible purulent discharge from the eye.
• History of gonococcal infection or exposure.

ICD-10 Code A54.32 for Gonococcal iridocyclitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A54.32 is utilized to document the diagnosis of Gonococcal iridocyclitis, capturing the patient's symptoms, clinical assessment, and treatment plan. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A54.32 for Gonococcal iridocyclitis Mean in SOAP Notes?

ICD-10 Code A54.32 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Gonococcal iridocyclitis. This linkage is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A54.32 – Gonococcal iridocyclitis

Gonococcal iridocyclitis requires urgent medical attention and often hospitalization due to the risk of complications. Appropriate antibiotic therapy is essential for effective treatment.

Antibiotic Therapy:

• Ceftriaxone 1 g IM once, or
• Ciprofloxacin 500 mg orally once (if susceptible), or
• Azithromycin 1 g orally once.

Supportive Care:

• Topical corticosteroids to reduce inflammation.
• Analgesics for pain management.
• Frequent follow-up to monitor for complications.

Infection Control:

• Educate patients on safe sexual practices.
• Screen and treat sexual partners.
• Implement precautions in clinical settings to prevent transmission.

How to Document Symptoms of Gonococcal iridocyclitis (ICD-10 A54.32) in SOAP Notes

Subjective:

• Patient reports acute eye pain and redness.
• Complains of photophobia and blurred vision.
• History of recent gonococcal infection.
• Noted purulent discharge from the affected eye.

Objective:

• Visual acuity decreased in the affected eye.
• Conjunctival injection and corneal edema observed.
• Presence of purulent discharge on examination.
• Intraocular pressure within normal limits.

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SOAP Note Guidelines for Diagnosing Gonococcal iridocyclitis (ICD-10 Code A54.32)

Assessment:

• Diagnosis: Gonococcal iridocyclitis, moderate severity.
• ICD-10 Code: A54.32.
• Contributing factors: Recent history of gonorrhea.
• Triggers: Sexual exposure to infected partner.

Plan:

• Initiate antibiotic therapy as per guidelines.
• Provide patient education on infection control.
• Schedule follow-up in 1 week to assess treatment response.
• Consider referral to ophthalmology for further evaluation.

Treatment & Plan Section for ICD-10 Code A54.32 – Gonococcal iridocyclitis

• First-line pharmacologic treatment includes ceftriaxone or azithromycin.
• Non-pharmacologic strategies involve patient education on safe practices.
• Monitoring includes visual acuity assessments and symptom tracking.
• Follow-up appointments are essential to ensure resolution of symptoms.

Using ICD-10 Code A54.32 for Gonococcal iridocyclitis in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical findings.
• Document symptoms clearly under Subjective (S) and Objective (O) sections.
• Ensure treatment plans align with clinical guidelines for justified billing.
• Include relevant CPT codes that correspond with the diagnosis.

Related ICD-10 Codes Often Used with Gonococcal iridocyclitis

• A54.00 – Gonococcal infection of unspecified site
• A54.01 – Gonococcal infection of the lower genitourinary tract
• A54.03 – Gonococcal infection of the rectum
• A54.02 – Gonococcal infection of the pharynx

ICD-10 Code A54.32 in Medical Billing and Insurance for Gonococcal iridocyclitis

ICD-10 Code A54.32 is critical in billing for hospital, ER, or infectious disease care related to Gonococcal iridocyclitis.

Billing Notes:

• Ensure documentation includes patient history and presenting symptoms.
• Use the code in settings where gonococcal infections are treated.
• Highlight key chart elements such as treatment plans and follow-up care.

Common CPT Pairings: