A54.03 ICD-10-CM Code: Gonococcal cervicitis, unspecified
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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Infections with a predominantly sexual mode of transmission (A50-A64)
A54.03
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceGonococcal cervicitis, unspecified
This code describes an infection of the cervix (the opening of the uterus) caused by gonorrhea bacteria, when the specific type or severity is not documented. Gonorrhea is a sexually transmitted infection that can cause inflammation and discharge in the cervical area.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for A54.03 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for A54.03 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for A54.03 in this effective period.
Excludes 1
Official- gonococcal infection with genitourinary gland abscess (A54.1)
- gonococcal infection with periurethral abscess (A54.1)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for A54.03 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for A54.03 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for A54.03 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is A54.03 an HCC code?
No. A54.03 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A54.03 is the ICD-10-CM diagnosis code for gonococcal cervicitis, unspecified. This code describes an infection of the cervix (the opening of the uterus) caused by gonorrhea bacteria, when the specific type or severity is not documented. Gonorrhea is a sexually transmitted infection that can cause inflammation and discharge in the cervical area. A54.03 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering infections with a predominantly sexual mode of transmission (a50-a64).
A54.03 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Verify documentation specifies cervicitis (inflammation of the cervix) and confirms gonorrheal etiology before assigning this code.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A54.03 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify documentation specifies cervicitis (inflammation of the cervix) and confirms gonorrheal etiology before assigning this code
- •If the type of cervicitis is specified (such as acute or chronic), use the more specific subcategory code (A54.01 for acute or A54.02 for chronic) rather than the unspecified code A54.03