A54.23 ICD-10-CM Code: Gonococcal infection of other male genital organs
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Infections with a predominantly sexual mode of transmission (A50-A64)
A54.23
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceGonococcal infection of other male genital organs
This code describes a bacterial infection caused by gonorrhea affecting male reproductive organs other than the urethra or prostate, such as the epididymis, seminal vesicles, or testes. It's a sexually transmitted infection that requires antibiotic treatment.
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
Official- Gonococcal epididymitis
- Gonococcal orchitis
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for A54.23 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for A54.23 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for A54.23 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for A54.23 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for A54.23 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for A54.23 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 A54.23 an HCC code?
No. A54.23 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
A54.23 is the ICD-10-CM diagnosis code for gonococcal infection of other male genital organs. This code describes a bacterial infection caused by gonorrhea affecting male reproductive organs other than the urethra or prostate, such as the epididymis, seminal vesicles, or testes. It's a sexually transmitted infection that requires antibiotic treatment. A54.23 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).
A54.23 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 the specific site of infection in the male genital tract is documented, as different anatomical locations may have different code options (A54.21 for prostate, A54.22 for other urethral complications).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A54.23 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify the specific site of infection in the male genital tract is documented, as different anatomical locations may have different code options (A54.21 for prostate, A54.22 for other urethral complications)
- •Ensure the documentation clearly indicates gonococcal etiology and confirms this is not a complication of urethritis or prostatitis, which would use different A54 codes