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ICD-10 Guide
ICD-10 CodesA52.03

A52.03

Syphilitic endocarditis

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

Code Description

ICD-10 A52.03 is a billable code used to indicate a diagnosis of syphilitic endocarditis.

Key Diagnostic Point:

Syphilitic endocarditis is a rare but serious complication of syphilis, a sexually transmitted infection caused by the bacterium Treponema pallidum. This condition occurs when the infection spreads to the heart, leading to inflammation of the heart valves and endocardium. Patients may present with symptoms such as fever, fatigue, heart murmurs, and signs of heart failure. Diagnosis typically involves serological testing for syphilis, echocardiography to assess valve function, and blood cultures to rule out other infectious causes. Treatment primarily involves the administration of high-dose penicillin, which is effective in eradicating the infection. Early detection and treatment are crucial to prevent severe complications, including heart damage and systemic infection. Regular follow-up and monitoring are essential to ensure resolution of the infection and to manage any potential long-term effects on cardiac health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of syphilis and its complications.
  • Differentiation from other types of endocarditis.
  • Need for accurate documentation of symptoms and treatment.
  • Potential for co-infection with other STIs.

Audit Risk Factors

  • Inadequate documentation of syphilis diagnosis.
  • Failure to document treatment regimen.
  • Lack of follow-up notes on patient progress.
  • Misclassification of endocarditis type.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with symptoms of endocarditis and a history of syphilis.

Billing Considerations

Ensure all serological tests and treatment responses are documented.

Cardiology

Documentation Requirements

Echocardiogram results, heart function assessments, and any surgical interventions.

Common Clinical Scenarios

Patients with heart murmurs and signs of heart failure linked to syphilitic endocarditis.

Billing Considerations

Document any cardiac complications and the need for potential surgical interventions.

Coding Guidelines

Inclusion Criteria

Use A52.03 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the syphilis diagnosis and any related complications
  • Include details on the treatment regimen and follow
  • up care

Exclusion Criteria

Do NOT use A52.03 When
No specific exclusions found.

Related CPT Codes

93000CPT Code

Electrocardiogram, ECG

Clinical Scenario

Used to assess cardiac function in patients with suspected endocarditis.

Documentation Requirements

Document the indication for the ECG and any findings.

Specialty Considerations

Cardiology specialists should ensure correlation with clinical symptoms.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of syphilitic endocarditis, improving the accuracy of data collection and treatment tracking for this rare but serious condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of syphilitic endocarditis, improving the accuracy of data collection and treatment tracking for this rare but serious condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of syphilitic endocarditis, improving the accuracy of data collection and treatment tracking for this rare but serious condition.

Resources

Clinical References

  • •
    CDC Syphilis Treatment Guidelines

Coding & Billing References

  • •
    CDC Syphilis Treatment Guidelines

Frequently Asked Questions

What are the common symptoms of syphilitic endocarditis?

Common symptoms include fever, fatigue, heart murmurs, and signs of heart failure. Patients may also experience chest pain and shortness of breath.