ICD-10 Diagnosis Code A54.24

Gonococcal female pelvic inflammatory disease

Diagnosis Code A54.24

ICD-10: A54.24
Short Description: Gonococcal female pelvic inflammatory disease
Long Description: Gonococcal female pelvic inflammatory disease
This is the 2019 version of the ICD-10-CM diagnosis code A54.24

Valid for Submission
The code A54.24 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Certain infectious and parasitic diseases (A00–B99)
    • Infections with a predominantly sexual mode of transmission (A50-A64)
      • Gonococcal infection (A54)

Information for Medical Professionals


Code Edits
The following edits are applicable to this code:
Diagnoses for females only - Diagnoses for females only.

Diagnostic Related Groups
The diagnosis code A54.24 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
  • 743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Convert to ICD-9
  • 098.16 - Gc endometritis (acute) (Approximate Flag)
  • 098.36 - Gc endometritis, chronic (Approximate Flag)

Synonyms
  • Abscess gonococcal
  • 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 metritis
  • Chronic salpingitis
  • Chronic uterine inflammatory disease
  • 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
  • Infection of ovary

Index of Diseases and Injuries
References found for the code A54.24 in the Index of Diseases and Injuries:

  • Inclusion Terms:
    • Gonococcal pelviperitonitis
  • Type 1 Excludes Notes:
    • gonococcal peritonitis (A54.85)

Information for Patients


Gonorrhea

Also called: The clap

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. The most reliable way to avoid infection is to not have anal, vaginal, or oral sex.

Centers for Disease Control and Prevention

  • Condom Fact Sheet in Brief (Centers for Disease Control and Prevention)
  • Endocervical gram stain (Medical Encyclopedia)
  • Gonococcal arthritis (Medical Encyclopedia)
  • Gonorrhea (Medical Encyclopedia)
  • Rectal culture (Medical Encyclopedia)
  • Urethral discharge culture (Medical Encyclopedia)

[Read More]

Pelvic Inflammatory Disease

Also called: PID

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.

NIH: National Institute of Allergy and Infectious Diseases

  • Pelvic Inflammatory Disease (PID) (Centers for Disease Control and Prevention)
  • Pelvic inflammatory disease (PID) (Medical Encyclopedia)
  • Pelvic inflammatory disease (PID) -- aftercare (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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