Late congenital syphilitic osteochondropathy
ICD-10 A50.56 is a billable code used to indicate a diagnosis of late congenital syphilitic osteochondropathy.
Late congenital syphilitic osteochondropathy is a rare condition resulting from maternal syphilis infection during pregnancy, leading to skeletal abnormalities in the offspring. This condition typically manifests in children who were infected with Treponema pallidum in utero, often presenting with bone deformities, joint pain, and growth disturbances. The osteochondropathy can affect various bones, particularly the long bones, leading to complications such as limb shortening and functional impairment. Diagnosis is primarily clinical, supported by imaging studies that reveal characteristic changes in bone structure. Treatment focuses on managing symptoms and may involve orthopedic interventions to correct deformities. Early identification and management are crucial to improve the quality of life for affected individuals. Additionally, contact tracing and treatment of sexual partners of the infected mother are essential to prevent further transmission of syphilis.
Detailed history of maternal health, prenatal care, and specific skeletal findings.
Diagnosis of congenital syphilis in newborns, evaluation of skeletal deformities.
Need for interdisciplinary collaboration with infectious disease specialists.
Imaging studies, surgical notes if corrective procedures are performed.
Management of limb deformities and functional impairments due to osteochondropathy.
Documentation of long-term follow-up and rehabilitation needs.
Used for joint pain management in patients with osteochondropathy.
Document indication for procedure and joint involved.
Orthopedic specialists may perform this procedure.
Documenting maternal syphilis history is crucial for accurate diagnosis and coding of congenital conditions, as it directly impacts the management and treatment of the affected child.