Gonococcal infection
In Infections with a predominantly sexual mode of transmission (A50-A64), chapter 1: Certain Infectious and Parasitic Diseases
31 billable codes under A54: 2 are an MCC, 27 are a CC; 7 map to HCC 92 (Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis), HCC 2 (Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock), HCC 78 (Intestinal Obstruction/Perforation).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Also applies, from Infections with a predominantly sexual mode of transmission (A50-A64)
These notes sit on A50-A64 and apply to every code under it, including A54.
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Rules for coding infections and parasitic diseases, including HIV, organism and drug resistance codes, sepsis and septic shock, MRSA, Zika, and COVID-19.
- Human Immunodeficiency Virus (HIV) Infections (page 19)
- Infectious agents as the cause of diseases classified to other chapters (page 22)
- Infections resistant to antibiotics (page 22)
- Sepsis, Severe Sepsis, and Septic Shock (page 23)
- Methicillin Resistant Staphylococcus aureus (MRSA) Conditions (page 27)
- Zika virus infections (page 28)
- Coronavirus infections (page 28)
All codes under A54
A54 can't be used on a claim. Pick a billable code below; grey headings group them.
- A54.0Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess
- A54.00Gonococcal infection of lower genitourinary tract, unspecified
- A54.01Gonococcal cystitis and urethritis, unspecified
- A54.02Gonococcal vulvovaginitis, unspecified
- A54.03Gonococcal cervicitis, unspecified
- A54.09Other gonococcal infection of lower genitourinary tract
- A54.1Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
- A54.2Gonococcal pelviperitonitis and other gonococcal genitourinary infection
- A54.21Gonococcal infection of kidney and ureter
- A54.22Gonococcal prostatitis
- A54.23Gonococcal infection of other male genital organs
- A54.24Gonococcal female pelvic inflammatory disease
- A54.29Other gonococcal genitourinary infections
- A54.3Gonococcal infection of eye
- A54.30Gonococcal infection of eye, unspecified
- A54.31Gonococcal conjunctivitis
- A54.32Gonococcal iridocyclitis
- A54.33Gonococcal keratitis
- A54.39Other gonococcal eye infection
- A54.4Gonococcal infection of musculoskeletal system
- A54.40Gonococcal infection of musculoskeletal system, unspecified
- A54.41Gonococcal spondylopathy
- A54.42Gonococcal arthritis
- A54.43Gonococcal osteomyelitis
- A54.49Gonococcal infection of other musculoskeletal tissue
- A54.5Gonococcal pharyngitis
- A54.6Gonococcal infection of anus and rectum
- A54.8Other gonococcal infections
- A54.81Gonococcal meningitis
- A54.82Gonococcal brain abscess
- A54.83Gonococcal heart infection
- A54.84Gonococcal pneumonia
- A54.85Gonococcal peritonitis
- A54.86Gonococcal sepsis
- A54.89Other gonococcal infections
- A54.9Gonococcal infection, unspecified
A54 MS-DRGs
As the principal diagnosis, the billable codes under A54 group to these 30 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 742 Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC (8 of 31 codes)
- DRG 743 Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC (8 of 31 codes)
- DRG 757 Infections, Female Reproductive System with MCC (8 of 31 codes)
- DRG 758 Infections, Female Reproductive System with CC (8 of 31 codes)
- DRG 759 Infections, Female Reproductive System without CC/MCC (8 of 31 codes)
- DRG 727 Inflammation of the Male Reproductive System with MCC (7 of 31 codes)
- DRG 728 Inflammation of the Male Reproductive System without MCC (7 of 31 codes)
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (5 of 31 codes)
- DRG 125 Other Disorders of the Eye without MCC (5 of 31 codes)
- DRG 456 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with MCC (4 of 31 codes)
- DRG 457 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with CC (4 of 31 codes)
- DRG 458 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection without CC/MCC (4 of 31 codes)
- DRG 548 Septic Arthritis with MCC (4 of 31 codes)
- DRG 549 Septic Arthritis with CC (4 of 31 codes)
- DRG 550 Septic Arthritis without CC/MCC (4 of 31 codes)
- DRG 867 Other Infectious and Parasitic Diseases Diagnoses with MCC (4 of 31 codes)
- DRG 868 Other Infectious and Parasitic Diseases Diagnoses with CC (4 of 31 codes)
- DRG 869 Other Infectious and Parasitic Diseases Diagnoses without CC/MCC (4 of 31 codes)
- DRG 023 Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator (1 of 31 codes)
- DRG 024 Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC (1 of 31 codes)
- DRG 094 Bacterial and Tuberculous Infections of Nervous System with MCC (1 of 31 codes)
- DRG 095 Bacterial and Tuberculous Infections of Nervous System with CC (1 of 31 codes)
- DRG 096 Bacterial and Tuberculous Infections of Nervous System without CC/MCC (1 of 31 codes)
- DRG 152 Otitis Media and URI with MCC (1 of 31 codes)
- DRG 153 Otitis Media and URI without MCC (1 of 31 codes)
- DRG 314 Other Circulatory System Diagnoses with MCC (1 of 31 codes)
- DRG 315 Other Circulatory System Diagnoses with CC (1 of 31 codes)
- DRG 316 Other Circulatory System Diagnoses without CC/MCC (1 of 31 codes)
- DRG 371 Major Gastrointestinal Disorders and Peritoneal Infections with MCC (1 of 31 codes)
- DRG 372 Major Gastrointestinal Disorders and Peritoneal Infections with CC (1 of 31 codes)
Other codes that refer to A54
Notes on these codes point to A54.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Gonorrhea
Gonorrhea is a sexually transmitted infection (STI). 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.
Read more about gonorrhea on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.