ICD-10 Code A54.41 – Gonococcal spondylopathy (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Gonococcal spondylopathy is A54.41.
2026 ICD-10-CM Diagnosis Code A54.41 – Gonococcal spondylopathy

What it is

A54.41 identifies spondylopathy caused by gonococcal infection. Use it when documentation shows Neisseria gonorrhoeae has involved the spine or vertebral structures.

Clinical signs

Clinical features vary; refer to documentation. Reported findings may include spinal pain, localized tenderness, and evidence of gonococcal infection affecting the vertebrae or surrounding tissues.

When to use this code

Use this code when the provider documents gonococcal infection of the spine, vertebrae, or related spinal structures. It may also apply when imaging, cultures, or specialist notes support gonococcal spondylopathy. If the record only states gonorrhea without spinal involvement, check documentation.

Do not use for

Do not use A54.41 for uncomplicated gonorrhea, nonspecific back pain, or other infectious spondylopathies without gonococcal cause. Check documentation if the organism is not clearly identified.

Coding tip

Look for explicit provider wording linking gonorrhea to spinal involvement before assigning A54.41.

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