2024 ICD-10-CM Diagnosis Code A54.24

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Abscess gonococcal
• Abscess of fallopian tube
• Abscess of female pelvis
• Abscess of ovary
• Acute endometritis
• Acute gonococcal endometritis
• Acute gonococcal salpingitis
• Acute gonorrhea of upper genitourinary tract
• Acute gonorrhea of upper genitourinary tract
• Acute pelvic inflammatory disease
• Acute pelvic inflammatory disease
• Acute salpingitis
• Acute uterine inflammatory disease
• Chronic endometritis
• Chronic gonococcal endometritis
• Chronic gonococcal salpingitis
• Chronic gonorrhea of upper genitourinary tract
• Chronic gonorrhea of upper genitourinary tract
• Chronic pelvic inflammatory disease
• Chronic pelvic inflammatory disease
• Chronic salpingitis
• Fallopian tube infection
• Fallopian tube infection
• Fallopian tube infection
• Fallopian tube infection
• Female gonococcal pelvic inflammatory disease
• Gonococcal endometritis
• Gonococcal female pelvic infection
• Gonococcal pelvic peritonitis
• Gonococcal peritonitis
• Gonococcal salpingitis
• Gonococcal tubo-ovarian abscess
• Gonorrhea of upper genitourinary tract
• Gonorrhea of upper genitourinary tract
• Gonorrhea of upper genitourinary tract
• Gonorrhea of upper genitourinary tract
• Gonorrhea of upper genitourinary tract
• Gonorrhea of upper genitourinary tract
• Gonorrhea of upper genitourinary tract
• Infection of ovary
• Tubo-ovarian abscess
• Tubo-ovarian mass

Clinical Information

• Chronic Salpingitis

  chronic inflammation of the fallopian tube. it usually follows an acute inflammatory attack.

• Chronic Endometritis

  a non-granulomatous or granulomatous chronic inflammation of the endometrium. causes include sexually transmitted pathogens and gynecological procedures. patients may present with irregular bleeding.

• Non Specific Chronic Endometritis

  chronic endometritis characterized by the presence of plasmacytic infiltrates in the endometrium. there are no granulomas present.

• Acute Endometritis

  an acute, usually bacterial infection affecting the endometrium. it is characterized by the presence of neutrophils or microabscesses in the endometrial glands. symptoms include fever, lower abdominal pain, and vaginal discharge.

• Acute Salpingitis

  acute inflammation of the fallopian tube. it is most often caused by neisseria gonorrhoeae and chlamydia trachomatis infections. the infections usually originate in the vagina and ascend to the fallopian tube. symptoms include abdominal, pelvic, and lower back pain, pain during ovulation and sexual intercourse, fever, nausea, and vomiting. complications include infertility and ectopic pregnancy.

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

• Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .

A54.24 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	13	1.7819
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	13	1.162

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert A54.24 to ICD-9-CM

• ICD-9-CM Code: 098.16 - Gc endometritis (acute)
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
• ICD-9-CM Code: 098.36 - Gc endometritis, chronic
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Gonorrhea

Gonorrhea is a sexually transmitted disease. It is most common in young adults. The bacteria that cause gonorrhea can infect the genital tract, mouth, or anus. You can get gonorrhea during vaginal, oral, or anal sex with an infected partner. A pregnant woman can pass it to her baby during childbirth.

Gonorrhea does not always cause symptoms. In men, gonorrhea can cause pain when urinating and discharge from the penis. If untreated, it can cause problems with the prostate and testicles.

In women, the early symptoms of gonorrhea often are mild. Later, it can cause bleeding between periods, pain when urinating, and increased discharge from the vagina. If untreated, it can lead to pelvic inflammatory disease, which causes problems with pregnancy and infertility.

Your health care provider will diagnose gonorrhea with lab tests. Treatment is with antibiotics. Treating gonorrhea is becoming more difficult because drug-resistant strains are increasing. Correct usage of latex condoms greatly reduces, but does not eliminate, the risk of catching or spreading gonorrhea. If your or your partner is allergic to latex, you can use polyurethane condoms. The most reliable way to avoid infection is to not have anal, vaginal, or oral sex.

Centers for Disease Control and Prevention

[Learn More in MedlinePlus]

Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) is an infection and inflammation of the uterus, ovaries, and other female reproductive organs. It causes scarring in these organs. This can lead to infertility, ectopic pregnancy, pelvic pain, abscesses, and other serious problems. PID is the most common preventable cause of infertility in the United States.

Gonorrhea and chlamydia, two sexually transmitted diseases, are the most common causes of PID. Other bacteria can also cause it. You are at greater risk if you:

• Are sexually active and younger than 25
• Have more than one sex partner
• Douche

Some women have no symptoms. Others have pain in the lower abdomen, fever, smelly vaginal discharge, irregular bleeding, and pain during intercourse or urination. Doctors diagnose PID with a physical exam, lab tests, and imaging tests. Antibiotics can cure PID. Early treatment is important. Waiting too long increases the risk of infertility.

[Learn More in MedlinePlus]

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.