ICD-10 Code A54.85 | Gonococcal peritonitis Symptoms, Diagnosis, Billing

Gonococcal peritonitis is a severe infection of the peritoneum caused by Neisseria gonorrhoeae. It typically arises from the spread of gonococcal infection from the genital tract, leading to significant morbidity. Accurate coding with ICD-10 Code A54.85 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this condition.

What is ICD-10 Code A54.85 for Gonococcal peritonitis?

ICD-10 Code A54.85 specifically denotes Gonococcal peritonitis, an infection of the peritoneal cavity due to Neisseria gonorrhoeae. This code should be used when documenting cases of peritonitis that are directly linked to gonococcal infection, ensuring accurate representation of the patient's condition for clinical documentation and billing purposes.

ICD-10 Code A54.85 – Clinical Definition and Explanation of Gonococcal peritonitis

Gonococcal peritonitis is primarily caused by the spread of Neisseria gonorrhoeae from the lower genital tract to the peritoneal cavity, often following pelvic inflammatory disease. This condition can progress rapidly, necessitating immediate medical intervention to prevent severe complications.

Key Clinical Features:

• Abdominal pain and tenderness
• Fever and chills
• Nausea and vomiting
• Signs of peritoneal irritation

ICD-10 Code A54.85 for Gonococcal peritonitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A54.85 is utilized to document the diagnosis of Gonococcal peritonitis, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A54.85 for Gonococcal peritonitis Mean in SOAP Notes?

ICD-10 Code A54.85 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Gonococcal peritonitis. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A54.85 – Gonococcal peritonitis

Gonococcal peritonitis requires urgent medical attention and often hospitalization for effective management.

Antibiotic Therapy:

• Ceftriaxone 1g IV every 24 hours for 7 days
• Azithromycin 1g orally as a single dose
• Alternative: Gentamicin 5mg/kg IV daily for 7 days
• Consideration of dual therapy for resistant strains

Supportive Care:

• Intravenous fluids to maintain hydration
• Pain management with analgesics
• Monitoring for signs of sepsis or complications
• Nutritional support as needed

Infection Control:

• Strict hand hygiene practices
• Isolation precautions if necessary
• Education on safe sexual practices to prevent transmission
• Reporting to public health authorities during outbreaks

How to Document Symptoms of Gonococcal peritonitis (ICD-10 A54.85) in SOAP Notes

Subjective:

• Patient reports severe abdominal pain
• History of recent gonococcal infection
• Nausea and vomiting present
• Fever and chills noted

Objective:

• Abdominal tenderness on palpation
• Fever of 101°F
• Elevated white blood cell count
• Signs of peritoneal irritation on examination

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SOAP Note Guidelines for Diagnosing Gonococcal peritonitis (ICD-10 Code A54.85)

Assessment:

• Diagnosis: Gonococcal peritonitis, severe
• ICD-10 Code: A54.85
• Contributing factors: Recent pelvic inflammatory disease
• Potential complications include sepsis and perforation

Plan:

• Initiate IV antibiotic therapy as per guidelines
• Provide supportive care including hydration and pain management
• Educate patient on infection prevention
• Schedule follow-up to monitor treatment response

Treatment & Plan Section for ICD-10 Code A54.85 – Gonococcal peritonitis

• First-line antibiotic therapy with ceftriaxone and azithromycin
• Supportive care including IV fluids and pain management
• Monitoring for complications such as abscess formation
• Patient education on safe sexual practices

Using ICD-10 Code A54.85 for Gonococcal peritonitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings
• Use A54.85 in appropriate clinical settings such as ER or inpatient care
• Align treatment plans with clinical guidelines for justified billing
• Include relevant CPT codes for services rendered

Related ICD-10 Codes Often Used with Gonococcal peritonitis

• A54.81 – Gonococcal infection of the lower genitourinary tract
• A54.82 – Gonococcal infection of the female genital tract
• A54.83 – Gonococcal infection of the male genital tract
• A54.84 – Gonococcal infection of the rectum

ICD-10 Code A54.85 in Medical Billing and Insurance for Gonococcal peritonitis

ICD-10 Code A54.85 is critical in the billing process for Gonococcal peritonitis, particularly in hospital and infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis
• Use A54.85 in conjunction with appropriate CPT codes for services
• Ensure compliance with payer requirements for documentation
• Review coding guidelines to avoid denials

Common CPT Pairings: