A54.24 ICD-10-CM Code: Gonococcal female pelvic inflammatory disease
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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)
A54.24
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceGonococcal female pelvic inflammatory disease
This is a sexually transmitted infection caused by gonorrhea bacteria that affects the female reproductive organs, including the uterus, fallopian tubes, and ovaries, causing inflammation and infection. It can lead to pelvic pain, abnormal discharge, and serious complications if left untreated.
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 pelviperitonitis
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for A54.24 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for A54.24 in this effective period.
Excludes 1
Official- gonococcal peritonitis (A54.85)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for A54.24 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for A54.24 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for A54.24 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 A54.24 an HCC code?
No. A54.24 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
A54.24 is the ICD-10-CM diagnosis code for gonococcal female pelvic inflammatory disease. This is a sexually transmitted infection caused by gonorrhea bacteria that affects the female reproductive organs, including the uterus, fallopian tubes, and ovaries, causing inflammation and infection. It can lead to pelvic pain, abnormal discharge, and serious complications if left untreated. A54.24 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).
A54.24 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 this is gonococcal PID (pelvic inflammatory disease) and not another cause of PID, as the organism type is essential for accurate coding.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A54.24 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify documentation specifies this is gonococcal PID (pelvic inflammatory disease) and not another cause of PID, as the organism type is essential for accurate coding
- •Ensure the documentation clearly indicates the infection is in the female pelvis; if the site is unspecified or involves other areas, a different A54 code may be more appropriate
Excludes 1, Do NOT code together
- gonococcal peritonitis (A54.85)