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A54.31

Billable

Gonococcal conjunctivitis

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This is an eye infection caused by gonorrhea bacteria that affects the conjunctiva (the clear membrane covering the white part of the eye and inner eyelids). It causes redness, swelling, and discharge from the infected eye.

Coding Tips

  • This code is typically used for neonatal conjunctivitis acquired during birth from an infected mother; verify documentation specifies gonococcal etiology rather than other bacterial causes
  • Ensure you are not confusing this with other conjunctivitis codes (H10 series); A54.31 specifically indicates the gonococcal organism as the causative agent

Code Hierarchy

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