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ICD-10 Guide
ICD-10 CodesA50.32

A50.32

Billable

Late congenital syphilitic chorioretinitis

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

Code Description

ICD-10 A50.32 is a billable code used to indicate a diagnosis of late congenital syphilitic chorioretinitis.

Key Diagnostic Point:

Late congenital syphilitic chorioretinitis is a severe ocular manifestation of congenital syphilis, which occurs when the Treponema pallidum bacterium is transmitted from an infected mother to her fetus during pregnancy. This condition typically manifests in infants who were not treated for syphilis during gestation. Chorioretinitis refers to the inflammation of the choroid and retina, leading to potential vision impairment or blindness. Clinically, it may present with symptoms such as photophobia, blurred vision, and strabismus. Diagnosis is often made through a combination of clinical examination, serological testing for syphilis, and imaging studies. Treatment involves managing the underlying syphilis infection with appropriate antibiotics, typically penicillin, and addressing any ocular complications that arise. Early detection and intervention are crucial to prevent long-term visual impairment. The condition underscores the importance of prenatal screening for syphilis and the need for timely treatment to mitigate risks to the fetus.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of congenital syphilis and its manifestations.
  • Involves understanding of ocular conditions and their coding.
  • Differentiation from other types of chorioretinitis.
  • Need for accurate documentation of maternal syphilis history.

Audit Risk Factors

  • Inadequate documentation of maternal syphilis status.
  • Failure to document the specific ocular manifestations.
  • Misclassification of the type of chorioretinitis.
  • Lack of follow-up documentation on treatment outcomes.

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed ocular examination findings, including visual acuity and any imaging results.

Common Clinical Scenarios

Infants presenting with vision problems, strabismus, or photophobia.

Billing Considerations

Need for comprehensive documentation of ocular health and any interventions performed.

Obstetrics

Documentation Requirements

Prenatal screening results for syphilis, maternal treatment history, and infant follow-up.

Common Clinical Scenarios

Pregnant women with a history of syphilis or at risk for STIs.

Billing Considerations

Importance of documenting maternal treatment to prevent congenital transmission.

Coding Guidelines

Inclusion Criteria

Use A50.32 When
  • According to ICD
  • 10 guidelines, A50
  • 32 should be used when there is clear documentation of late congenital syphilitic chorioretinitis
  • It is important to ensure that the diagnosis is confirmed through appropriate testing and that the maternal history of syphilis is well
  • documented

Exclusion Criteria

Do NOT use A50.32 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92014CPT Code

Ophthalmological examination, comprehensive, established patient

Clinical Scenario

Used during follow-up visits for infants diagnosed with A50.32.

Documentation Requirements

Complete ocular examination findings and treatment plan.

Specialty Considerations

Ophthalmologists should document all findings related to congenital syphilitic chorioretinitis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes for conditions like A50.32.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes for conditions like A50.32.

Reimbursement & Billing Impact

reimbursement processes for conditions like A50.32.

Resources

Clinical References

  • •
    CDC Syphilis Fact Sheet

Coding & Billing References

  • •
    CDC Syphilis Fact Sheet

Frequently Asked Questions

What is the significance of coding A50.32 accurately?

Accurate coding of A50.32 is crucial for proper treatment planning, epidemiological tracking of congenital syphilis, and ensuring appropriate reimbursement for healthcare providers.