ICD-10-CM 2027
ICD-10 code for gonococcal meningitis
From the official ICD-10-CM alphabetic index entry “Meningitis (basal) (basic) (brain) (cerebral) (cervical) (congestive) (diffuse) (hemorrhagic) (infantile) (membranous) (metastatic) (nonspecific) (pontine) (progressive) (simple) (spinal) (subacute) (sympathetic) (toxic) › gonococcal”. Page updated September 29, 2026.
About coding gonococcal meningitis
The ICD-10-CM code for gonococcal meningitis is A54.81 (Gonococcal meningitis).
Within A54.8 (other gonococcal infections), A54.81 is specifically for gonococcal meningitis. Related codes cover gonococcal brain abscess (A54.82), gonococcal heart infection (A54.83), gonococcal pneumonia (A54.84), gonococcal peritonitis (A54.85), gonococcal sepsis (A54.86) 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 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator, relative weight 5.7444), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC, relative weight 3.9708), DRG 094 (Bacterial and Tuberculous Infections of Nervous System with MCC, relative weight 3.4124), DRG 095 (Bacterial and Tuberculous Infections of Nervous System with CC, relative weight 2.3492) and DRG 096 (Bacterial and Tuberculous Infections of Nervous System without CC/MCC, relative weight 2.3213), in MDC 01 (Diseases and Disorders of the Nervous System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
Common questions about gonococcal meningitis ICD-10 codes
What is the ICD-10 code for gonococcal meningitis?
- A54.81 — Gonococcal meningitis.
Is A54.81 billable?
- Yes. A54.81 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can A54.81 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict A54.81 as a principal diagnosis.
Is A54.81 a CC or MCC?
- A54.81 is an MCC (major complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.