Other neurosyphilis
ICD-10 A69.2 is a billable code used to indicate a diagnosis of other neurosyphilis.
Neurosyphilis is a complication of syphilis that affects the central nervous system. It can occur at any stage of syphilis and manifests in various forms, including asymptomatic neurosyphilis, meningovascular syphilis, and tabes dorsalis. Symptoms may include headaches, altered mental status, seizures, and sensory deficits. The condition is caused by the spirochete Treponema pallidum, which can invade the nervous system, leading to inflammation and damage. Geographic distribution of neurosyphilis is closely linked to the prevalence of syphilis, which is more common in areas with limited access to healthcare and higher rates of sexually transmitted infections. Endemic areas often include regions in sub-Saharan Africa, parts of Asia, and some urban areas in developed countries. Diagnosis typically involves serological testing for syphilis and may include lumbar puncture to analyze cerebrospinal fluid (CSF) for signs of infection. Treatment involves the use of antibiotics, primarily penicillin, which is effective in eradicating the infection and preventing further neurological damage.
Detailed history of syphilis infection, treatment history, and neurological symptoms.
Patients presenting with neurological symptoms and a history of syphilis.
Ensure all serological tests and CSF analyses are documented.
Neurological examination findings, imaging studies, and treatment plans.
Patients with unexplained neurological deficits and a history of syphilis.
Document differential diagnoses to support coding.
Used to confirm syphilis diagnosis in patients with neurological symptoms.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive testing.
Common symptoms include headaches, altered mental status, seizures, and sensory deficits. Some patients may be asymptomatic.
