A54.1

A54.1: Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess

Billable / specific codeICD-10-CM

A54.1 is a billable, specific ICD-10-CM code for gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess. It is valid for submission on a claim.

Check A54.1 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Gonococcal Bartholin's gland abscess

Other codes that can never be billed with A54.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

A54.1 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57113Billing and Coding: Removal of Benign Skin Lesions
A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Alphabetic index entries that lead here

Bartholinitis›gonococcal(acute) (chronic) (with abscess)
Gonorrhea›Cowper's gland(with abscess)
Paraurethritis›gonococcal(acute) (chronic) (with abscess)
Abscess›penis›gonococcal(accessory gland) (periurethral)
Abscess›periurethral›gonococcal(accessory gland) (periurethral)
Gonococcus, gonococcal›urethra›with abscess(accessory gland) (periurethral)
Gonorrhea›Bartholin's gland›with abscess(accessory gland) (periurethral)
Gonorrhea›lower genitourinary tract›with abscess(accessory gland) (periurethral)
Gonorrhea›urethra›with abscess(accessory gland) (periurethral)
Urethritis›diplococcal›with abscess(accessory gland) (periurethral)
Urethritis›gonococcal›with abscess(accessory gland) (periurethral)
Vaginitis›gonococcal›with abscess(accessory gland) (periurethral)

Code history

Unchanged in every release from FY2024 to FY2027.