A54.0 vs A54.1
A54.0 (Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess) compared with A54.1 (Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. A54.0 carries an Excludes1 note covering A54.1: “gonococcal infection with genitourinary gland abscess (A54.1)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. A54.0 carries an Excludes1 note covering A54.1: “gonococcal infection with periurethral abscess (A54.1)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| A54.0Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess | A54.1Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99) | A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99) |
| Definition | Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess is a non-billable ICD-10-CM category code (A54.0). | Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess is a billable ICD-10-CM diagnosis code (A54.1). |
| Includes | — | Gonococcal Bartholin's gland abscess |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources