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v1.0.0
ICD-10 Guide
ICD-10 CodesA52.02

A52.02

Syphilitic aortitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A52.02 is a billable code used to indicate a diagnosis of syphilitic aortitis.

Key Diagnostic Point:

Syphilitic aortitis is a rare but serious complication of tertiary syphilis, which occurs when the Treponema pallidum bacterium, responsible for syphilis, leads to inflammation of the aorta. This condition typically arises years after the initial syphilis infection if left untreated. The inflammation can result in aortitis, which may lead to aneurysm formation, aortic regurgitation, or even rupture, posing significant risks to cardiovascular health. Patients may present with symptoms such as chest pain, shortness of breath, or signs of heart failure. Diagnosis is often confirmed through imaging studies like echocardiography or CT scans, alongside serological tests for syphilis. Treatment involves the administration of antibiotics, primarily penicillin, to eradicate the infection, along with possible surgical intervention for severe cases. Early detection and treatment are crucial to prevent life-threatening complications associated with this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of syphilis stages and complications.
  • Differentiation from other forms of aortitis.
  • Need for accurate documentation of syphilis history.
  • Potential for multiple codes related to cardiovascular involvement.

Audit Risk Factors

  • Inadequate documentation of syphilis history.
  • Failure to document symptoms and clinical findings.
  • Misclassification of aortitis type.
  • Lack of follow-up documentation for treatment efficacy.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of syphilis infection, treatment history, and follow-up care.

Common Clinical Scenarios

Patients presenting with late-stage syphilis and cardiovascular symptoms.

Billing Considerations

Ensure comprehensive documentation of serological tests and treatment response.

Cardiology

Documentation Requirements

Cardiac imaging results, symptoms of aortic involvement, and treatment plans.

Common Clinical Scenarios

Patients with chest pain and known history of syphilis.

Billing Considerations

Document any surgical interventions or additional cardiovascular conditions.

Coding Guidelines

Inclusion Criteria

Use A52.02 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when there is clear documentation of syphilitic aortitis
  • Include any relevant codes for associated conditions

Exclusion Criteria

Do NOT use A52.02 When
No specific exclusions found.

Related CPT Codes

93306CPT Code

Echocardiography, transthoracic, real-time with interpretation and report

Clinical Scenario

Used to assess aortic involvement in patients with suspected syphilitic aortitis.

Documentation Requirements

Document indication for echocardiography and findings related to aortitis.

Specialty Considerations

Cardiology specialists should ensure comprehensive reporting of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like syphilitic aortitis, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like syphilitic aortitis, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    CDC Syphilis Treatment Guidelines

Coding & Billing References

  • •
    CDC Syphilis Treatment Guidelines

Frequently Asked Questions

What are the common symptoms of syphilitic aortitis?

Common symptoms include chest pain, shortness of breath, and signs of heart failure. Patients may also experience systemic symptoms related to syphilis.