A54.31 vs P37
A54.31 (Gonococcal conjunctivitis) compared with P37 (Other congenital infectious and parasitic diseases), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. P37 carries an Excludes2 note covering A54.31: “ophthalmia neonatorum due to gonococcus (A54.31)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. P37 carries an Excludes2 note covering A54.31: “congenital gonococcal infection (A54.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| A54.31Gonococcal conjunctivitis | P37Other congenital infectious and parasitic diseases | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Gonococcal conjunctivitis is a billable ICD-10-CM diagnosis code (A54.31). | Other congenital infectious and parasitic diseases is a non-billable ICD-10-CM category code (P37). |
| Includes | Ophthalmia neonatorum due to gonococcus | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources