A54.43
A54.43: Gonococcal osteomyelitis
Billable / specific codeICD-10-CM
A54.43 is a billable, specific ICD-10-CM code for gonococcal osteomyelitis. It is valid for submission on a claim.
Check A54.43 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- gonococcal infection of spine (A54.41)
Other codes that can never be billed with A54.43
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
A54.43 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 92 Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis0.479 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Alphabetic index entries that lead here
- Periostitis›gonorrheal
- Gonococcus, gonococcal›musculoskeletal›osteomyelitis
Code history
Unchanged in every release from FY2024 to FY2027.