ICD-10 Code A54.02 – Gonococcal vulvovaginitis, unspecified (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code A54.02 – Gonococcal vulvovaginitis, unspecified
What it is
This code identifies gonococcal infection involving the vulva and vagina when the record does not specify further detail. Use it for confirmed gonorrhea affecting the lower female genital tract.
Clinical signs
Findings may include vulvovaginal irritation, discharge, dysuria, or pelvic discomfort. Clinical features vary; refer to documentation, and confirm the diagnosis is attributed to Neisseria gonorrhoeae.
When to use this code
Use A54.02 when the clinician documents gonococcal vulvovaginitis without a more specific site or complication. It also fits cases where the chart states gonorrhea of the vulva and vagina but does not name another genital diagnosis.
Code from the confirmed diagnosis, not from symptoms alone. If the documentation identifies a different gonococcal site, a mixed infection, or a complication, check documentation before assigning this code.
Do not use for
Do not use this code for nonspecific vaginitis, cervicitis, or urethritis without gonococcal confirmation. Do not assign it when the record supports another STI or a noninfectious cause.
Coding tip
Look for explicit provider wording linking gonorrhea to vulvovaginitis; if the site is unclear, check documentation.