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ICD-10 Guide
ICD-10 CodesA50.30

A50.30

Billable

Late congenital syphilitic oculopathy, unspecified

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

Code Description

ICD-10 A50.30 is a billable code used to indicate a diagnosis of late congenital syphilitic oculopathy, unspecified.

Key Diagnostic Point:

Late congenital syphilitic oculopathy refers to ocular manifestations resulting from congenital syphilis, which occurs when a mother with syphilis transmits the infection to her fetus during pregnancy. This condition can lead to a variety of eye problems, including chorioretinitis, cataracts, and optic nerve abnormalities. The symptoms may not present until later in childhood or adolescence, making diagnosis challenging. The unspecified nature of this code indicates that the specific ocular condition has not been detailed, which can complicate treatment and management. Early detection and intervention are crucial to prevent long-term visual impairment. Treatment typically involves managing the underlying syphilis infection with appropriate antibiotics, such as penicillin, and addressing any ocular complications that arise. Regular follow-up with an ophthalmologist is essential for monitoring and managing the ocular health of affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the condition can lead to ambiguity in coding.
  • Requires knowledge of congenital syphilis transmission and its effects.
  • Potential for co-morbid conditions complicating the diagnosis.
  • Documentation must clearly indicate the congenital nature of the syphilis.

Audit Risk Factors

  • Inadequate documentation of maternal syphilis status.
  • Failure to specify ocular manifestations.
  • Lack of follow-up documentation for treatment outcomes.
  • Inconsistent coding practices across specialties.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed maternal history, including syphilis screening results and treatment.

Common Clinical Scenarios

Infants presenting with unexplained visual impairment or other developmental delays.

Billing Considerations

Need for comprehensive eye examinations and potential referrals to specialists.

Ophthalmology

Documentation Requirements

Specific details on ocular findings and any interventions performed.

Common Clinical Scenarios

Children with congenital syphilis presenting with eye symptoms.

Billing Considerations

Collaboration with pediatricians for holistic management of the patient.

Coding Guidelines

Inclusion Criteria

Use A50.30 When
  • According to ICD
  • 10 guidelines, A50
  • 30 should be used when there is a confirmed diagnosis of congenital syphilis affecting the eyes, but the specific ocular condition is not documented
  • It is essential to ensure that the maternal syphilis status is well
  • documented to support the diagnosis

Exclusion Criteria

Do NOT use A50.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92014CPT Code

Ophthalmological examination, comprehensive, established patient

Clinical Scenario

Used for follow-up examinations of children with congenital syphilitic oculopathy.

Documentation Requirements

Detailed findings of the eye examination and any interventions.

Specialty Considerations

Ophthalmologists should document the patient's history of congenital syphilis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital syphilis and its complications, improving the accuracy of diagnoses and treatment tracking. A50.30 provides a framework for coding unspecified ocular conditions related to congenital syphilis, which was less detailed in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital syphilis and its complications, improving the accuracy of diagnoses and treatment tracking. A50.30 provides a framework for coding unspecified ocular conditions related to congenital syphilis, which was less detailed in ICD-9.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC Congenital Syphilis Fact Sheet

Coding & Billing References

  • •
    CDC Congenital Syphilis Fact Sheet

Frequently Asked Questions

What is the significance of coding A50.30?

Coding A50.30 is crucial for tracking congenital syphilis cases and ensuring appropriate treatment and follow-up for affected children. It highlights the need for comprehensive maternal screening and management.