2026 ICD-10-CM Diagnosis Code A54.24Gonococcal female pelvic inflammatory disease

ICD-10-CM CodesA00–B99A50-A64A54

ICD-10-CM A54.24
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

A54.24 is a billable ICD-10-CM diagnosis code for gonococcal female pelvic inflammatory disease. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 742 through 743, 757 through 759. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Inflammatory diseases of female pelvic organs and Sexually transmitted infections (excluding HIV and hepatitis).

Code Identity

ICD-10-CM Code
A54.24
Billable Status
Yes — Valid for Submission
Code Describes
Gonococcal female pelvic inflammatory disease
Short Description
Gonococcal female pelvic inflammatory disease
Same as the full description in the CMS dataset.
Parent Code
Gonococcal pelviperitonitis and other gonococcal genitourinary infection

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA50-A64Infections with a predominantly sexual mode of transmission
CategoryA54Gonococcal infection
This CodeA54.24Gonococcal female pelvic inflammatory disease

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abscess gonococcal
  • Abscess of fallopian tube
  • Abscess of female pelvis
  • Abscess of ovary
  • Acute endometritis
  • Acute gonococcal endometritis
  • Acute gonococcal salpingitis
  • Acute gonorrhea of upper genitourinary tract
  • Acute pelvic inflammatory disease
  • Acute salpingitis
  • Acute uterine inflammatory disease
  • Chronic endometritis
  • Chronic gonococcal endometritis
  • Chronic gonococcal salpingitis
  • Chronic gonorrhea of upper genitourinary tract
  • Chronic pelvic inflammatory disease
  • Chronic salpingitis
  • Fallopian tube infection
  • Female gonococcal pelvic inflammatory disease
  • Gonococcal endometritis
  • Gonococcal female pelvic infection
  • Gonococcal pelvic peritonitis
  • Gonococcal peritonitis
  • Gonococcal salpingitis
  • Gonococcal tubo-ovarian abscess
  • Gonorrhea of upper genitourinary tract
  • Infection of ovary
  • Pelvic peritonitis
  • Tubo-ovarian abscess
  • Tubo-ovarian mass

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Gonococcal pelviperitonitis

Type 1 Excludes

  • gonococcal peritonitis A54.85

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disease, diseased
      • pelvis, pelvic
        • gonococcal (acute) (chronic)
    • Endometritis(decidual) (nonspecific) (purulent) (senile) (atrophic) (suppurative)
      • blennorrhagic (gonococcal) (acute) (chronic)
    • Endometritis(decidual) (nonspecific) (purulent) (senile) (atrophic) (suppurative)
      • gonococcal, gonorrheal (acute) (chronic)
    • Gonococcus, gonococcal(disease) (infection)
      • fallopian tubes (acute) (chronic)
    • Gonococcus, gonococcal(disease) (infection)
      • pelviperitonitis
    • Gonococcus, gonococcal(disease) (infection)
      • pelvis (acute) (chronic)
    • Gonococcus, gonococcal(disease) (infection)
      • pyosalpinx (acute) (chronic)
    • Gonorrhea(acute) (chronic)
      • fallopian tube (acute) (chronic)
    • Gonorrhea(acute) (chronic)
      • ovary (acute) (chronic)
    • Gonorrhea(acute) (chronic)
      • pelvis (acute) (chronic)
    • Gonorrhea(acute) (chronic)
      • pelvis (acute) (chronic)
        • female pelvic inflammatory disease
    • Pelviperitonitis
      • gonococcal
    • Salpingitis(catarrhal) (fallopian tube) (nodular) (pseudofollicular) (purulent) (septic)
      • gonococcal (acute) (chronic)
    • Salpingitis(catarrhal) (fallopian tube) (nodular) (pseudofollicular) (purulent) (septic)
      • specific (gonococcal) (acute) (chronic)
    • Salpingitis(catarrhal) (fallopian tube) (nodular) (pseudofollicular) (purulent) (septic)
      • venereal (gonococcal) (acute) (chronic)
    • Salpingo-oophoritis(catarrhal) (purulent) (ruptured) (septic) (suppurative)
      • acute
        • gonococcal
    • Salpingo-oophoritis(catarrhal) (purulent) (ruptured) (septic) (suppurative)
      • gonococcal (acute) (chronic)
    • Salpingo-oophoritis(catarrhal) (purulent) (ruptured) (septic) (suppurative)
      • specific (gonococcal) (acute) (chronic)
    • Salpingo-oophoritis(catarrhal) (purulent) (ruptured) (septic) (suppurative)
      • venereal (gonococcal) (acute) (chronic)
    • Stricture
      • fallopian tube
        • gonococcal

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN018
Inflammatory diseases of female pelvic organs
Default principal diagnosis: inpatient No · outpatient No
CCSR INF010
Sexually transmitted infections (excluding HIV and hepatitis)
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Chronic Salpingitis

    chronic inflammation of the fallopian tube. it usually follows an acute inflammatory attack.
  • Chronic Endometritis

    a non-granulomatous or granulomatous chronic inflammation of the endometrium. causes include sexually transmitted pathogens and gynecological procedures. patients may present with irregular bleeding.
  • Non Specific Chronic Endometritis

    chronic endometritis characterized by the presence of plasmacytic infiltrates in the endometrium. there are no granulomas present.
  • Acute Endometritis

    an acute, usually bacterial infection affecting the endometrium. it is characterized by the presence of neutrophils or microabscesses in the endometrial glands. symptoms include fever, lower abdominal pain, and vaginal discharge.
  • Acute Salpingitis

    acute inflammation of the fallopian tube. it is most often caused by neisseria gonorrhoeae and chlamydia trachomatis infections. the infections usually originate in the vagina and ascend to the fallopian tube. symptoms include abdominal, pelvic, and lower back pain, pain during ovulation and sexual intercourse, fever, nausea, and vomiting. complications include infertility and ectopic pregnancy.
  • Pelvic Peritonitis

    inflammation of the peritoneum surrounding the pelvic organs.

Patient EducationClinical

Gonorrhea

Gonorrhea is a sexually transmitted infection (STI). It is most common in young adults. The bacteria that cause gonorrhea can infect the genital tract, mouth, or anus. You can get gonorrhea during vaginal, oral, or anal sex with an infected partner. A pregnant woman can pass it to her baby during childbirth.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert A54.24 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
098.16 Gc endometritis (acute)
Approximate The match is approximate rather than exact.
ICD-9-CM
098.36 Gc endometritis, chronic
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About A54.24Overview

Is A54.24 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report gonococcal female pelvic inflammatory disease on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does A54.24 group to?

When gonococcal female pelvic inflammatory disease is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 757, 758, 759, with relative weights from 0.6636 to 1.8348 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of A54.24?

Under the General Equivalence Mappings, gonococcal female pelvic inflammatory disease converts to ICD-9-CM 098.16 (gc endometritis (acute)) and 098.36 (gc endometritis, chronic). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.