A54.22
BillableGonococcal prostatitis
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is A54.22 an HCC code?
No. A54.22 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A54.22 is the ICD-10-CM diagnosis code for gonococcal prostatitis. This is a bacterial infection of the prostate gland caused by gonorrhea (a sexually transmitted infection). It causes inflammation and swelling of the prostate, which can lead to pain, urinary symptoms, and discharge. A54.22 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).
A54.22 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 that the documentation specifically states gonococcal infection of the prostate; do not assume prostatitis is gonococcal without explicit confirmation.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A54.22 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify that the documentation specifically states gonococcal infection of the prostate; do not assume prostatitis is gonococcal without explicit confirmation
- •This code is part of the gonococcal infection category (A54), so ensure the causative organism is documented as Neisseria gonorrhoeae