ICD-10 Code A54.86 – Gonococcal Sepsis (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code A54.86 – Gonococcal sepsis
What it is
A54.86 identifies sepsis caused by Neisseria gonorrhoeae. Use it when the record documents gonococcal bloodstream infection or sepsis linked to gonorrhea.
Clinical signs
Clinical features vary; refer to documentation. Sepsis may present with systemic infection findings, and the source is gonococcal when the organism is identified or clearly stated.
When to use this code
Use this code when the provider documents gonococcal sepsis, gonococcemia with sepsis, or sepsis due to gonorrhea. It also fits when the chart clearly links sepsis to confirmed Neisseria gonorrhoeae infection.
Do not use for
Do not use it for uncomplicated gonorrhea without sepsis, or for sepsis from another organism. Check documentation if the source infection is not clearly identified.
Coding tip
Assign the code only when the record explicitly supports gonococcal sepsis; otherwise, code the documented infection and sepsis separately as appropriate.