Late syphilis, latent
ICD-10 A52.2 is a billable code used to indicate a diagnosis of late syphilis, latent.
Late syphilis, latent, refers to a stage of syphilis infection that occurs after the primary and secondary stages have resolved, typically occurring years after initial infection. During this phase, the individual is asymptomatic, and the infection is not transmissible through sexual contact. Latent syphilis is characterized by the absence of clinical signs and symptoms, but serological tests remain positive for Treponema pallidum, the bacterium responsible for syphilis. This stage can last for years and may progress to tertiary syphilis if left untreated, which can lead to severe complications affecting the cardiovascular system, nervous system, and other organs. Diagnosis is primarily based on serological testing, including non-treponemal tests (e.g., RPR, VDRL) and treponemal tests (e.g., FTA-ABS). Treatment typically involves the administration of benzathine penicillin G, which is effective in eradicating the infection and preventing progression to tertiary syphilis. Regular follow-up and monitoring of serological response are essential to ensure treatment efficacy.
Comprehensive patient history, serological test results, treatment plans, and follow-up notes.
Patients presenting with positive syphilis serology but no symptoms, or those with a history of syphilis requiring follow-up.
Ensure clarity in documentation regarding the stage of syphilis and any co-existing conditions.
Detailed patient history, risk factors for STIs, and documentation of screening and treatment protocols.
Routine screening of at-risk populations and management of patients with a history of syphilis.
Documenting risk factors and ensuring appropriate referrals to specialists when necessary.
Used when testing for syphilis in patients with a history of STIs.
Document the reason for testing and the patient's history.
Infectious disease specialists may require more detailed documentation of risk factors.
Latent syphilis is asymptomatic and non-transmissible, while active syphilis presents with clinical symptoms and can be transmitted to sexual partners.
