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ICD-10-CM 2027 diagnosis code

A54.86Gonococcal sepsis

✓ Billable / specificMCC — major complication/comorbidity

A54.86 is a valid, billable ICD-10-CM code for gonococcal sepsis. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Looking up by condition? See ICD-10 code for Gonococcemia.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About A54.86

A54.86 is the ICD-10-CM diagnosis code for gonococcal sepsis. It belongs to category A54 (gonococcal infection), block A50-A64 (infections with a predominantly sexual mode of transmission) and chapter 1 (certain infectious and parasitic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within A54.8 (other gonococcal infections), A54.86 is specifically for gonococcal sepsis. Related codes cover gonococcal meningitis (A54.81), gonococcal brain abscess (A54.82), gonococcal heart infection (A54.83), gonococcal pneumonia (A54.84), gonococcal peritonitis (A54.85) and other gonococcal infections (A54.89).

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 870 (Septicemia or Severe Sepsis with MV >96 Hours, relative weight 6.9408), DRG 871 (Septicemia or Severe Sepsis without MV >96 Hours with MCC, relative weight 1.932) and DRG 872 (Septicemia or Severe Sepsis without MV >96 Hours without MCC, relative weight 1.0066), in MDC 18 (Infectious and Parasitic Diseases, Systemic or Unspecified Sites), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 098.89 (gonococcal infection of other specified sites) and 995.91 (sepsis).

Notes that apply from higher levels

Instructions written at a parent level also apply to A54.86.

Broader instructions also apply from A50-A64 Infections with a predominantly sexual mode of transmission and Chapter 1: Certain infectious and parasitic diseases.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to A54.86.

Codes whose notes reference A54.86

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 098.89Gonococcal infection of other specified sitesapproximate, combination
  • 995.91Sepsisapproximate, combination

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about A54.86

Is A54.86 billable?

Yes. A54.86 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can A54.86 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict A54.86 as a principal diagnosis.

Is A54.86 a CC or MCC?

A54.86 is an MCC (major complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does A54.86 group to?

A54.86 is used in the MS-DRG v44.0 logic for MS-DRG 870 (Septicemia or Severe Sepsis with MV >96 Hours), MS-DRG 871 (Septicemia or Severe Sepsis without MV >96 Hours with MCC) and MS-DRG 872 (Septicemia or Severe Sepsis without MV >96 Hours without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for A54.86?

The CMS General Equivalence Mappings map A54.86 to ICD-9-CM 098.89 and 995.91.