A54.1
Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
Clinical Classification Guidelines
Inclusion Terms
- Gonococcal Bartholin's gland abscess
Medical Intelligence & Overview
Gonococcal infection of the lower genitourinary tract, classified under ICD-10 code A54.1, refers to an infection caused by the bacteria Neisseria gonorrhoeae. This infection can involve the urethra, periurethral glands, and accessory glands, leading to abscess formation. Specifically, it includes cases such as Gonococcal Bartholin's gland abscess, which affects the Bartholin's glands located on each side of the vaginal opening. The condition often causes painful swelling and discomfort and requires medical attention to manage infection and complications effectively.
Causes & Symptoms
Clinical Causes: Infection with the bacteria Neisseria gonorrhoeae, transmitted primarily through sexual contact Unprotected sexual activity with an infected partner Having multiple sexual partners Sharing contaminated sexual devices or towels Recent antibiotic use that disrupts normal bacterial flora, increasing susceptibility
Key Symptoms: Pain or tenderness in the lower genital area Swelling or a palpable lump near the vaginal opening Redness around the affected area Purulent (pus-like) discharge from the affected gland or urethra Difficulty or pain during urination Fever or chills in more severe cases Discomfort or pain during sexual intercourse
Diagnostic & Treatment
Diagnosis Path: Visual inspection of the vulvar and vaginal area Swab samples from the discharge or affected area for microscopy and laboratory testing to identify Neisseria gonorrhoeae Urine tests to detect gonorrheal infection Ultrasound or imaging studies if abscess formation is suspected Screening for other sexually transmitted infections, as co-infection is common
Treatment Protocols: Antibiotic therapy targeted against Neisseria gonorrhoeae, often involving injectable ceftriaxone Drainage of abscesses to relieve pain and prevent further spread of infection Pain management with analgesics Addressing any co-existing sexually transmitted infections Providing counseling and education about safe sexual practices to prevent recurrence
Clinical Advice & FAQs
Billing Guidance
Is A54.1 a billable ICD-10 code?
Yes, A54.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A54.1?
Clinical documentation must specify the nature of Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess and any associated comorbidities for accurate reporting.
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