October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

A54 Gonococcal infection

All 31 codes in the A54 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

31

Can lead a claim

31

Cannot lead a claim

0

What CMS assigns to A54

All 31 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases (29), Neuro Rehabilitation (1) and Musculoskeletal Rehabilitation (1). None of the 31 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in A54

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
A54.0 Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess
A54.00Gonococcal infection of lower genitourinary tract, unspecifiedCMS: Gonococcal infection of lower genitourinary tract, unspCan lead a claimKNone
A54.01Gonococcal cystitis and urethritis, unspecifiedCan lead a claimKNone
A54.02Gonococcal vulvovaginitis, unspecifiedCan lead a claimKNone
A54.03Gonococcal cervicitis, unspecifiedCan lead a claimKNone
A54.09Other gonococcal infection of lower genitourinary tractCan lead a claimKNone
A54.1Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscessCMS: Gonocl infct of lower GU tract w periureth and acc glnd abcsCan lead a claimKNone
A54.2 Gonococcal pelviperitonitis and other gonococcal genitourinary infection
A54.21Gonococcal infection of kidney and ureterCan lead a claimKNone
A54.22Gonococcal prostatitisCan lead a claimKNone
A54.23Gonococcal infection of other male genital organsCan lead a claimKNone
A54.24Gonococcal female pelvic inflammatory diseaseCan lead a claimKNone
A54.29Other gonococcal genitourinary infectionsCan lead a claimKNone
A54.3 Gonococcal infection of eye
A54.30Gonococcal infection of eye, unspecifiedCan lead a claimKNone
A54.31Gonococcal conjunctivitisCan lead a claimKNone
A54.32Gonococcal iridocyclitisCan lead a claimKNone
A54.33Gonococcal keratitisCan lead a claimKNone
A54.39Other gonococcal eye infectionCan lead a claimKNone
A54.4 Gonococcal infection of musculoskeletal system
A54.40Gonococcal infection of musculoskeletal system, unspecifiedCan lead a claimKNone
A54.41Gonococcal spondylopathyCan lead a claimKNone
A54.42Gonococcal arthritisCan lead a claimENone
A54.43Gonococcal osteomyelitisCan lead a claimKNone
A54.49Gonococcal infection of other musculoskeletal tissueCan lead a claimKNone
A54.5Gonococcal pharyngitisCan lead a claimKNone
A54.6Gonococcal infection of anus and rectumCan lead a claimKNone
A54.8 Other gonococcal infections
A54.81Gonococcal meningitisCan lead a claimBNone
A54.82Gonococcal brain abscessCan lead a claimKNone
A54.83Gonococcal heart infectionCan lead a claimKNone
A54.84Gonococcal pneumoniaCan lead a claimKNone
A54.85Gonococcal peritonitisCan lead a claimKNone
A54.86Gonococcal sepsisCan lead a claimKNone
A54.89Other gonococcal infectionsCan lead a claimKNone
A54.9Gonococcal infection, unspecifiedCan lead a claimKNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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