ICD-10-CM 2027
ICD-10 code for gonorrhea
From the official ICD-10-CM alphabetic index entry “Gonorrhea (acute) (chronic)”. Page updated September 29, 2026.
About coding gonorrhea
The ICD-10-CM code for gonorrhea is A54.9 (Gonococcal infection, unspecified). The official index lists 25 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on A54.9.
Within A54, choose A54.9 (unspecified) only when documentation doesn't support a more specific option: of lower genitourinary tract without periurethral or accessory gland abscess (A54.0), of lower genitourinary tract with periurethral and accessory gland abscess (A54.1), gonococcal pelviperitonitis and other gonococcal genitourinary infection (A54.2), of eye (A54.3), of musculoskeletal system (A54.4), gonococcal pharyngitis (A54.5), of anus and rectum (A54.6) and other gonococcal infections (A54.8).
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 867 (Other Infectious and Parasitic Diseases Diagnoses with MCC, relative weight 2.1859), DRG 868 (Other Infectious and Parasitic Diseases Diagnoses with CC, relative weight 1.0235) and DRG 869 (Other Infectious and Parasitic Diseases Diagnoses without CC/MCC, relative weight 0.6787), in MDC 18 (Infectious and Parasitic Diseases, Systemic or Unspecified Sites), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
More specific gonorrhea codes (official index)
- Bartholin's gland (acute) (chronic) (purulent) A54.02 — Gonococcal vulvovaginitis, unspecified
- with abscess (accessory gland) (periurethral) A54.1 — Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
- bladder A54.01 — Gonococcal cystitis and urethritis, unspecified
- cervix A54.03 — Gonococcal cervicitis, unspecified
- conjunctiva, conjunctivitis (neonatorum) A54.31 — Gonococcal conjunctivitis
- contact Z20.2 — Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
- Cowper's gland (with abscess) A54.1 — Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
- exposure to Z20.2 — Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
- fallopian tube (acute) (chronic) A54.24 — Gonococcal female pelvic inflammatory disease
- kidney (acute) (chronic) A54.21 — Gonococcal infection of kidney and ureter
- lower genitourinary tract A54.00 — Gonococcal infection of lower genitourinary tract, unspecified
- with abscess (accessory gland) (periurethral) A54.1 — Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
- ovary (acute) (chronic) A54.24 — Gonococcal female pelvic inflammatory disease
- pelvis (acute) (chronic) A54.24 — Gonococcal female pelvic inflammatory disease
- female pelvic inflammatory disease A54.24 — Gonococcal female pelvic inflammatory disease
- penis A54.09 — Other gonococcal infection of lower genitourinary tract
- prostate (acute) (chronic) A54.22 — Gonococcal prostatitis
- seminal vesicle (acute) (chronic) A54.23 — Gonococcal infection of other male genital organs
- specified site not listed A54.89 — Other gonococcal infections
- spermatic cord (acute) (chronic) A54.23 — Gonococcal infection of other male genital organs
- urethra A54.01 — Gonococcal cystitis and urethritis, unspecified
- with abscess (accessory gland) (periurethral) A54.1 — Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
- vagina A54.02 — Gonococcal vulvovaginitis, unspecified
- vas deferens (acute) (chronic) A54.23 — Gonococcal infection of other male genital organs
- vulva A54.02 — Gonococcal vulvovaginitis, unspecified
Common questions about gonorrhea ICD-10 codes
What is the ICD-10 code for gonorrhea?
- A54.9 — Gonococcal infection, unspecified. More specific codes apply when the documentation supports them: A54.02, A54.1, A54.01, A54.03 and others below.
What is the ICD-10 code for bartholin's gland gonorrhea?
- A54.02 — Gonococcal vulvovaginitis, unspecified.
What is the ICD-10 code for bladder gonorrhea?
- A54.01 — Gonococcal cystitis and urethritis, unspecified.
What is the ICD-10 code for cervix gonorrhea?
- A54.03 — Gonococcal cervicitis, unspecified.
What is the ICD-10 code for contact gonorrhea?
- Z20.2 — Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission.
What is the ICD-10 code for cowper's gland gonorrhea?
- A54.1 — Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess.
What is the ICD-10 code for exposure to gonorrhea?
- Z20.2 — Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission.
Is A54.9 billable?
- Yes. A54.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can A54.9 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict A54.9 as a principal diagnosis.
Is A54.9 a CC or MCC?
- A54.9 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.