Gonococcal brain abscess

This code represents a rare but severe complication of Neisseria gonorrhoeae infection, characterized by the formation of a pus-filled lesion within the brain tissue. It signifies a direct central nervous system involvement due to disseminated gonococcal disease, leading to neurological deficits.

Use this code when documentation clearly indicates a brain abscess caused by Neisseria gonorrhoeae. This diagnosis is typically supported by positive cultures from brain tissue or cerebrospinal fluid, or strong clinical evidence in a patient with confirmed disseminated gonococcal infection and neurological symptoms.

• Always confirm the causative organism as Neisseria gonorrhoeae for the brain abscess.
• Code any associated disseminated gonococcal infection (e.g., A54.89) as a secondary diagnosis if present and documented.
• Ensure documentation specifies "abscess" and not just "meningitis" or "encephalitis" for accurate coding.