A54.2
Non-Billable

Is A54.2 Billable?

No — This is a non-billable / non-specific code. Use a more specific sub-code for billing and reimbursement.

Gonococcal pelviperitonitis and other gonococcal genitourinary infection

Billable Alternatives 5 found
A54.21
Gonococcal infection of kidney and ureter
Billable
A54.22
Gonococcal prostatitis
Billable
A54.23
Gonococcal infection of other male genital organs
Billable
A54.24
Gonococcal female pelvic inflammatory disease
Billable
A54.29
Other gonococcal genitourinary infections
Billable

Understanding Billable vs Non-Billable Codes

ICD-10-CM codes are classified as either billable/specific or non-billable/non-specific. Billable codes can be used on insurance claims for reimbursement. Non-billable codes are typically parent or header codes that require a more specific sub-code for actual billing.

When a code is non-billable, always look for its child codes (sub-codes) which provide the necessary specificity for reimbursement. Using a non-billable code on a claim may result in denial or delayed payment.

About Billable Status

Billable status indicates whether a code can be used for reimbursement purposes. Non-billable codes are typically header or parent codes that require a more specific sub-code for actual billing and claims. Always verify with the latest payer guidelines.