A54
A54 — Gonococcal infection
Non-billable headerICD-10-CM
A54 is a non-billable header ICD-10-CM code for gonococcal infection. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with A54
These codes carry an Excludes1 note pointing at A54. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A54 alone.
- L86Keratoderma in diseases classified elsewhere
- L99Other disorders of skin and subcutaneous tissue in diseases classified elsewhere
- M01Direct infections of joint in infectious and parasitic diseases classified elsewhere
- M49Spondylopathies in diseases classified elsewhere
- M86Osteomyelitis
- M90Osteopathies in diseases classified elsewhere
- N08Glomerular disorders in diseases classified elsewhere
- N29Other disorders of kidney and ureter in diseases classified elsewhere
Risk adjustment
A54 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead A54
9 child codes. Green means billable.
- A54.0Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess
- A54.1Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
- A54.2Gonococcal pelviperitonitis and other gonococcal genitourinary infection
- A54.3Gonococcal infection of eye
- A54.4Gonococcal infection of musculoskeletal system
- A54.5Gonococcal pharyngitis
- A54.6Gonococcal infection of anus and rectum
- A54.8Other gonococcal infections
- A54.9Gonococcal infection, unspecified
Questions about A54
- Is A54 a billable ICD-10-CM code?
- No. A54 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does A54 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Infections with a predominantly sexual mode of transmission (A50-A64).