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ICD-10 Guide
ICD-10 CodesA52.09

A52.09

Other cardiovascular syphilis

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

Code Description

ICD-10 A52.09 is a billable code used to indicate a diagnosis of other cardiovascular syphilis.

Key Diagnostic Point:

Other cardiovascular syphilis (A52.09) refers to cardiovascular manifestations of syphilis that do not fall under the more specific categories of aortic aneurysm or aortic regurgitation. This condition can arise during the tertiary stage of syphilis, where the infection can lead to significant cardiovascular complications, including endarteritis, aortitis, and coronary artery disease. Patients may present with symptoms such as chest pain, heart failure, or signs of ischemia. Diagnosis typically involves serological testing for Treponema pallidum, the bacterium responsible for syphilis, alongside imaging studies to assess cardiovascular involvement. Treatment primarily consists of antibiotic therapy, usually with penicillin, which is effective in managing the infection and preventing further cardiovascular damage. Regular follow-up and monitoring are essential to assess treatment efficacy and manage any arising complications. Given the potential for severe outcomes, timely diagnosis and intervention are critical in managing this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various forms of cardiovascular syphilis.
  • Understanding the progression of syphilis and its stages.
  • Knowledge of serological testing and interpretation.
  • Awareness of potential co-morbidities and their impact on coding.

Audit Risk Factors

  • Inadequate documentation of cardiovascular symptoms.
  • Failure to link the diagnosis to appropriate treatment.
  • Misclassification of the stage of syphilis.
  • 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 symptoms of syphilis, including cardiovascular complaints.

Billing Considerations

Documentation must clearly outline the relationship between syphilis and cardiovascular symptoms.

Cardiology

Documentation Requirements

Comprehensive cardiovascular assessments, imaging results, and treatment responses.

Common Clinical Scenarios

Patients with known syphilis presenting with chest pain or heart failure.

Billing Considerations

Cardiologists should document the syphilis history and its impact on cardiovascular health.

Coding Guidelines

Inclusion Criteria

Use A52.09 When
  • According to ICD
  • 10 guidelines, A52
  • 09 should be used when there is clear documentation of cardiovascular involvement due to syphilis
  • It is essential to ensure that the diagnosis is supported by clinical findings and serological tests

Exclusion Criteria

Do NOT use A52.09 When
  • Exclusion criteria include cases where cardiovascular symptoms are due to other underlying conditions

Related CPT Codes

86592CPT Code

Syphilis serology test

Clinical Scenario

When testing for syphilis in patients with cardiovascular symptoms.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure comprehensive testing protocols.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of syphilis-related conditions, improving the accuracy of diagnoses and treatment tracking. A52.09 provides a clear classification for cardiovascular manifestations, facilitating better patient management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of syphilis-related conditions, improving the accuracy of diagnoses and treatment tracking. A52.09 provides a clear classification for cardiovascular manifestations, facilitating better patient management and research.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of syphilis-related conditions, improving the accuracy of diagnoses and treatment tracking. A52.09 provides a clear classification for cardiovascular manifestations, facilitating better patient management and research.

Resources

Clinical References

  • •
    CDC Syphilis Treatment Guidelines

Coding & Billing References

  • •
    CDC Syphilis Treatment Guidelines

Frequently Asked Questions

What are the common symptoms of cardiovascular syphilis?

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

How is cardiovascular syphilis diagnosed?

Diagnosis typically involves serological testing for syphilis and imaging studies to assess cardiovascular involvement.

What is the treatment for cardiovascular syphilis?

The primary treatment is antibiotic therapy, usually with penicillin, which is effective in managing the infection and preventing further cardiovascular damage.