A54.21
Gonococcal infection of kidney and ureter
Clinical Classification Guidelines
Medical Intelligence & Overview
Gonococcal infection of the kidney and ureter is a rare form of sexually transmitted infection caused by the bacteria Neisseria gonorrhoeae. Typically, gonorrhea affects the mucous membranes of the genitals, but in some cases, it can spread to the upper urinary tract, involving the kidneys and ureters. This condition can lead to serious health complications if not diagnosed and treated promptly. Understanding the causes, symptoms, diagnosis, and available treatments can help in managing this infection effectively.
Causes & Symptoms
Clinical Causes: Transmission through unprotected sexual contact with an infected partner. Spread of bacteria from other infected areas in the lower urinary tract or reproductive organs. In rare cases, dissemination of bacteria through bloodstream leading to infection of kidneys and ureters. Compromised immune system which increases susceptibility to infections spreading beyond initial sites.
Key Symptoms: Flank pain or pain in the back, often severe and sudden in onset. Fever and chills, indicating possible infection and inflammation. Painful urination and increased urinary frequency. Blood in the urine (hematuria). General malaise, fatigue, and discomfort. Possible nausea and vomiting if the infection causes systemic symptoms.
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a combination of clinical evaluation and laboratory tests. Healthcare providers may perform:
Treatment Protocols: Treatment typically includes targeted antibiotics to eliminate the infection. The specific approach may involve:
Clinical Advice & FAQs
Billing Guidance
Is A54.21 a billable ICD-10 code?
Yes, A54.21 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A54.21?
Clinical documentation must specify the nature of Gonococcal infection of kidney and ureter and any associated comorbidities for accurate reporting.
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