A54.86 Gonococcal sepsis

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Risk adjustment (HCC)

• CMS-HCC V28: HCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock
• CMS-HCC V22: HCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock
• ESRD V24: HCC 2

MS-DRG index

Defines the logic of DRG(s) 870-872 in MDC 18.

Approximate ICD-9-CM (GEMs)

• 098.89 Gonococcal infection of other specified sites (approximate)
• 995.91 Sepsis (approximate)

Code annotations containing back-references to A54.86

Back-references to A54.86

• Type 2 Excludes: A41 Other sepsis ("sepsis (due to) (in) gonococcal (A54.86)")

Back-references to A54

• Type 2 Excludes: N34 Urethritis and urethral syndrome ("urethritis in diseases with a predominantly sexual mode of transmission (A50-A64)")

Diagnosis Index entries for A54.86

• Gonococcemia
• Sepsis (generalized) (unspecified organism) › gonococcal

Nearby codes

• A54.81 Gonococcal meningitis
• A54.82 Gonococcal brain abscess
• A54.83 Gonococcal heart infection
• A54.84 Gonococcal pneumonia
• A54.85 Gonococcal peritonitis
• A54.86 Gonococcal sepsis (this code)
• A54.89 Other gonococcal infections
• A54.9 Gonococcal infection, unspecified