A54.81
Gonococcal meningitis
Clinical Classification Guidelines
Medical Intelligence & Overview
Gonococcal meningitis is a rare but serious infection caused by the bacteria Neisseria gonorrhoeae, which usually leads to sexually transmitted infections. When this bacteria infects the membranes surrounding the brain and spinal cord, it results in meningitis. This condition requires prompt medical attention to prevent severe complications.
Causes & Symptoms
Clinical Causes: Primary infection with Neisseria gonorrhoeae: the bacteria enters the bloodstream and travels to the meninges. Spread from other gonorrheal infections: often sexually transmitted, involving the genital, rectal, or throat areas. Direct spread to the central nervous system: very rarely, through head trauma or invasive procedures. Immunocompromised state: increased susceptibility to infections, including gonococcal meningitis.
Key Symptoms: Severe headache High fever and chills Neck stiffness and pain Sensitivity to light (photophobia) Nausea and vomiting Altered mental status: confusion or decreased consciousness Seizures: in some cases Skin rashes or pustules: may be present if bacteremia occurs Signs of other gonorrheal infections: such as urethritis, rectal inflammation, or sore throat
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a combination of clinical evaluation and laboratory tests. Medical professionals may perform:
Treatment Protocols: Treatment for gonococcal meningitis involves prompt administration of antibiotics. Usually, healthcare providers prescribe high-dose intravenous antibiotics tailored to combat Neisseria gonorrhoeae. Additionally:
Clinical Advice & FAQs
Billing Guidance
Is A54.81 a billable ICD-10 code?
Yes, A54.81 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A54.81?
Clinical documentation must specify the nature of Gonococcal meningitis and any associated comorbidities for accurate reporting.
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