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ICD-10 Guide
ICD-10 CodesA52.06

A52.06

Other syphilitic heart involvement

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

Code Description

ICD-10 A52.06 is a billable code used to indicate a diagnosis of other syphilitic heart involvement.

Key Diagnostic Point:

Other syphilitic heart involvement refers to cardiovascular complications arising from syphilis, a sexually transmitted infection caused by the bacterium Treponema pallidum. This condition can manifest as aortitis, coronary artery disease, or other forms of heart disease due to the inflammatory response triggered by the infection. Patients may present with symptoms such as chest pain, shortness of breath, or signs of heart failure. Diagnosis typically involves serological testing for syphilis, imaging studies to assess heart structure and function, and clinical evaluation of symptoms. Treatment primarily includes antibiotic therapy, usually with penicillin, to eradicate the infection, alongside management of any cardiovascular complications. Regular follow-up is essential to monitor the patient's response to treatment and to manage any ongoing heart issues. Contact tracing is crucial in syphilis management to prevent further transmission and to ensure that sexual partners are tested and treated as necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of syphilis and its systemic effects.
  • Involves differentiating from other cardiovascular conditions.
  • Documentation must clearly link syphilis to heart involvement.
  • Potential for co-morbid conditions complicating the diagnosis.

Audit Risk Factors

  • Inadequate documentation linking syphilis to heart involvement.
  • Failure to report co-morbid conditions.
  • Incorrect coding of symptoms versus definitive diagnosis.
  • Lack of follow-up documentation post-treatment.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, serological test results, and treatment plans.

Common Clinical Scenarios

Patients presenting with atypical chest pain and a history of syphilis.

Billing Considerations

Need for comprehensive sexual history and partner notification.

Cardiology

Documentation Requirements

Echocardiogram results, clinical findings, and treatment response.

Common Clinical Scenarios

Patients with heart failure symptoms and a history of syphilis.

Billing Considerations

Differentiating between syphilitic heart involvement and other cardiac conditions.

Coding Guidelines

Inclusion Criteria

Use A52.06 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant laboratory results and imaging studies that confirm the diagnosis of syphilitic heart involvement

Exclusion Criteria

Do NOT use A52.06 When
No specific exclusions found.

Related CPT Codes

93000CPT Code

Electrocardiogram, ECG

Clinical Scenario

Used to assess cardiac function in patients with suspected syphilitic heart involvement.

Documentation Requirements

ECG results and clinical correlation with syphilis diagnosis.

Specialty Considerations

Cardiology may require additional imaging studies.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of syphilitic conditions, improving the accuracy of data collection and treatment tracking for syphilitic heart involvement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of syphilitic conditions, improving the accuracy of data collection and treatment tracking for syphilitic heart involvement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC Syphilis Treatment Guidelines

Coding & Billing References

  • •
    CDC Syphilis Treatment Guidelines

Frequently Asked Questions

What are the common symptoms of syphilitic heart involvement?

Common symptoms include chest pain, shortness of breath, fatigue, and signs of heart failure. Patients may also present with a history of syphilis.