A54.31
Gonococcal conjunctivitis
Clinical Classification Guidelines
Inclusion Terms
- Ophthalmia neonatorum due to gonococcus
Medical Intelligence & Overview
Gonococcal conjunctivitis, also known as ophthalmia neonatorum due to gonococcus, is a severe eye infection caused by the bacteria Neisseria gonorrhoeae. This condition is particularly concerning in newborns, who may acquire the infection during childbirth. Prompt diagnosis and treatment are essential to prevent serious complications such as corneal damage or blindness. The condition is classified under ICD-10 code A54.31 and requires medical attention for proper management.
Causes & Symptoms
Clinical Causes: Transfer of Neisseria gonorrhoeae bacteria from an infected mother during vaginal delivery Contact with contaminated secretions or surfaces containing the bacteria Rarely, autoinoculation from other infected body sites
Key Symptoms: Redness and swelling in one or both eyes Thick, pus-like discharge from the eyes Irritation and discomfort in the affected eye Sensitivity to light In severe cases, eye swelling and decreased vision Rapid progression if untreated, leading to potential corneal damage
Diagnostic & Treatment
Diagnosis Path: Diagnosis is typically made through a clinical examination of the infant's eyes and laboratory testing. Healthcare providers may collect samples of eye discharge for gram staining and culture to identify Neisseria gonorrhoeae. Early detection is crucial, especially in newborns, to initiate appropriate treatment promptly.
Treatment Protocols: Treatment involves the administration of antibiotics to eliminate the bacterial infection. Standard treatments may include: - Topical antibiotic eye drops or ointments, such as erythromycin or tetracycline - Intravenous or oral antibiotics in more severe cases Early and effective treatment is essential to prevent complications. Medical professionals will tailor therapy based on the severity of the infection and individual patient needs.
Clinical Advice & FAQs
Billing Guidance
Is A54.31 a billable ICD-10 code?
Yes, A54.31 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A54.31?
Clinical documentation must specify the nature of Gonococcal conjunctivitis and any associated comorbidities for accurate reporting.
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