Is A54.0 a billable ICD-10-CM code?

No. A54.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does A54.0 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).

What cannot be coded together with A54.0?

A54.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

A54.0

A54.0 — Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess

Non-billable headerICD-10-CM

A54.0 is a non-billable header ICD-10-CM code for gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

gonococcal infection with genitourinary gland abscess (A54.1)
gonococcal infection with periurethral abscess (A54.1)

Other codes that can never be billed with A54.0

These codes carry an Excludes1 note pointing at A54.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A54.0 alone.

N33Bladder disorders in diseases classified elsewhere
N35.1Postinfective urethral stricture, not elsewhere classified
N37Urethral disorders in diseases classified elsewhere
N74Female pelvic inflammatory disorders in diseases classified elsewhere
N77.0Ulceration of vulva in diseases classified elsewhere
N77.1Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere

Risk adjustment

A54.0 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 A54.0

5 child codes. Green means billable.

Related codes at this level

Codes that share A54. If A54.0 is not quite right, the correct code is usually one of these.

Questions about A54.0

Is A54.0 a billable ICD-10-CM code?: No. A54.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does A54.0 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).
What cannot be coded together with A54.0?: A54.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.