Gonococcal conjunctivitis

This code identifies an acute inflammation of the conjunctiva caused by Neisseria gonorrhoeae. It typically presents with severe purulent discharge, chemosis, and eyelid edema, often affecting neonates (ophthalmia neonatorum) but can also occur in adults. Untreated, it can lead to corneal ulceration and vision loss.

Apply this code when documentation explicitly states a diagnosis of conjunctivitis confirmed to be caused by gonococcal infection. This is particularly relevant for newborns presenting with ophthalmia neonatorum or adults with a history of gonococcal exposure and characteristic ocular symptoms. Lab confirmation (e.g., Gram stain, culture, NAAT) of N. gonorrhoeae from conjunctival discharge strongly supports its use.

• Do not use this code for conjunctivitis of unspecified bacterial origin; specific documentation of Neisseria gonorrhoeae is required.
• For ophthalmia neonatorum, also consider codes from category P39 for other infections specific to the perinatal period.
• Ensure documentation differentiates between gonococcal conjunctivitis and other forms of bacterial conjunctivitis, such as those caused by Chlamydia trachomatis.