A54.30 ICD-10-CM Code: Gonococcal infection of eye, unspecified
HCC Buddy Code Card
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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)
A54.30
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceGonococcal infection of eye, unspecified
A bacterial infection of the eye caused by gonorrhea (a sexually transmitted infection), where the specific part of the eye affected is not documented. This infection can cause redness, discharge, and vision problems if left untreated.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for A54.30 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for A54.30 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for A54.30 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for A54.30 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for A54.30 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for A54.30 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for A54.30 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is A54.30 an HCC code?
No. A54.30 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- A54.30
- Description
- Gonococcal infection of eye, unspecified
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
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
A54.30 is the ICD-10-CM diagnosis code for gonococcal infection of eye, unspecified. A bacterial infection of the eye caused by gonorrhea (a sexually transmitted infection), where the specific part of the eye affected is not documented. This infection can cause redness, discharge, and vision problems if left untreated. A54.30 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).
A54.30 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.
Query the provider if documentation specifies which eye structure is affected (conjunctiva, cornea, etc.) as more specific codes (A54.31-A54.39) may be more accurate.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A54.30 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.