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ICD-10-CM A54.01: Gonococcal cystitis and urethritis, unspecified

A54.01 is the billable ICD-10-CM code for gonococcal cystitis and urethritis, unspecified, in category A54 (Gonococcal infection) of the Infections with a predominantly sexual mode of transmission section. As a principal diagnosis it groups to MS-DRG 689 Kidney and Urinary Tract Infections with MCC, MS-DRG 690 Kidney and Urinary Tract Infections without MCC (MDC 11 MDC 11: Diseases and Disorders of the Kidney and Urinary Tract). As a secondary diagnosis it is a CC, excluded with 32 principal diagnoses. 4 LCD billing and coding articles list it as covered.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026); IPPS Table 5 (MS-DRG weights): v44 FY2027 (final rule + CN3) (effective October 1, 2026); ICD-10-CM to HCC mapping: PY2027 initial ICD-10-CM mappings (dates of service 2026) (payment year 2027); Medicare Coverage Database billing and coding articles: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: FY2028 code files, effective October 1, 2027 for the ICD-10-CM code descriptions; FY2028 final rule (August 2027), effective October 1, 2027; an April 1 interim grouper update when CMS issues one for the IPPS Table 5 (MS-DRG weights); PY2028 advance notice (February 2027) and the PY2027 midyear final mapping (spring 2027) for the ICD-10-CM to HCC mapping; weekly, every Thursday for the Medicare Coverage Database billing and coding articles.

Code
A54.01
billable FY2027 ICD-10-CM code
Category
A54 Gonococcal infection
Chapter
1: Certain infectious and parasitic diseases (A00-B99)
CC/MCC (MS-DRG v44)
CC
CMS-HCC V28
Not mapped
POA reporting
Required

Tabular list notes for A54.01

The tabular list has no notes on A54.01 itself; the notes below apply from its parent headings.

Inherited from A54.0 (Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess)

Excludes1 (never coded together)
  • gonococcal infection with genitourinary gland abscess (A54.1)
  • gonococcal infection with periurethral abscess (A54.1)

MS-DRG grouping when A54.01 is the principal diagnosis

MS-DRG v44 groups for A54.01 as principal diagnosis
MDCMS-DRGs
11 MDC 11: Diseases and Disorders of the Kidney and Urinary Tract689690

The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for A54.01 shows the full grouping logic.

CC/MCC status and inpatient edits

As a secondary diagnosis, A54.01 is a CC under MS-DRG v44, unless the principal diagnosis is one of the 32 codes in its exclusion list. Check A54.01 against a principal diagnosis.

  • Present on admission: a POA indicator is required on inpatient claims.

CMS-HCC V28 risk adjustment

A54.01 does not map to a payment HCC in the PY2027 CMS-HCC V28 model, so on its own it does not change a Medicare Advantage risk score.

LCD billing and coding articles that list A54.01

4 current Medicare billing and coding articles list A54.01 among the diagnoses that support medical necessity for the services they cover.

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Frequently asked questions

What does ICD-10-CM A54.01 mean?

A54.01 means gonococcal cystitis and urethritis, unspecified. It is one of 25 billable codes under A54, gonococcal infection.

What can't be coded with A54.01?

Excludes1 at A54.0: gonococcal infection with genitourinary gland abscess (A54.1); gonococcal infection with periurethral abscess (A54.1). These are never reported together with A54.01.

Which MS-DRG does A54.01 group to?

As the principal diagnosis, A54.01 groups to MS-DRG 689 Kidney and Urinary Tract Infections with MCC, MS-DRG 690 Kidney and Urinary Tract Infections without MCC (MDC 11 MDC 11: Diseases and Disorders of the Kidney and Urinary Tract) under MS-DRG v44, before procedures and secondary diagnoses are applied.

Is A54.01 a CC or MCC?

A54.01 is a CC under MS-DRG v44; 32 principal diagnoses exclude it.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

The descriptor and notes are reproduced from the FY2027 ICD-10-CM files; MS-DRG, CC/MCC and HCC facts come from the CMS FY2027 and PY2027 tables. Code from the medical record and the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.