A54.89 ICD-10-CM Code: Other gonococcal infections

A54.89 is the ICD-10-CM diagnosis code for other gonococcal infections. This code represents gonococcal infections (caused by the bacterium Neisseria gonorrhoeae) that don't fit into other specified categories, such as infections of the heart, joints, or other body systems. It's used when the infection is confirmed but the specific site or type isn't captured by more specific gonococcal codes. A54.89 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).

A54.89 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.

Use this code only after confirming that a more specific gonococcal infection code (such as A54.0-A54.83) doesn't apply; always document the specific site of infection in the medical record to support code selection.