ICD-10 Code A50.31 | Late congenital syphilitic interstitial keratitis Symptoms, Diagnosis, Billing

Late congenital syphilitic interstitial keratitis is a serious ocular condition resulting from untreated congenital syphilis. It is characterized by inflammation of the cornea, leading to vision impairment or blindness. Accurate coding with ICD-10 Code A50.31 is essential for proper diagnosis, documentation, billing, and public health reporting, ensuring that affected individuals receive appropriate care and follow-up.

What is ICD-10 Code A50.31 for Late congenital syphilitic interstitial keratitis?

ICD-10 Code A50.31 represents Late congenital syphilitic interstitial keratitis, a complication of congenital syphilis that manifests in the later stages of life. This code should be used when documenting cases of interstitial keratitis associated with congenital syphilis, ensuring accurate billing and facilitating appropriate treatment and management of the condition.

ICD-10 Code A50.31 – Clinical Definition and Explanation of Late congenital syphilitic interstitial keratitis

Late congenital syphilitic interstitial keratitis is caused by the persistence of Treponema pallidum infection from congenital syphilis, leading to chronic inflammation of the cornea. This condition can progress to significant visual impairment and requires prompt medical attention to prevent complications.

Key Clinical Features:

• Corneal opacification and scarring
• Photophobia and tearing
• Decreased visual acuity
• History of congenital syphilis

ICD-10 Code A50.31 for Late congenital syphilitic interstitial keratitis – SOAP Notes & Clinical Use

ICD-10 Code A50.31 is utilized in SOAP notes to document the diagnosis of Late congenital syphilitic interstitial keratitis. It plays a crucial role in capturing patient symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code A50.31 for Late congenital syphilitic interstitial keratitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A50.31 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Late congenital syphilitic interstitial keratitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A50.31 – Late congenital syphilitic interstitial keratitis

Late congenital syphilitic interstitial keratitis requires immediate medical intervention to prevent vision loss. Treatment typically involves managing inflammation and addressing the underlying syphilis infection.

Antibiotic Therapy:

• Benzathine penicillin G: 2.4 million units IM once weekly for 3 weeks
• Doxycycline: 100 mg orally twice daily for 14 days (alternative)

Supportive Care:

• Topical corticosteroids to reduce inflammation
• Artificial tears for symptomatic relief
• Regular ophthalmologic follow-up

Infection Control:

• Educate patients on syphilis transmission
• Screening and treatment of sexual partners
• Follow public health guidelines during outbreaks

How to Document Symptoms of Late congenital syphilitic interstitial keratitis (ICD-10 A50.31) in SOAP Notes

Subjective:

• Patient reports blurred vision and photophobia.
• History of congenital syphilis diagnosed in infancy.
• Complaints of eye discomfort and tearing.
• No previous treatment for ocular symptoms.

Objective:

• Visual acuity measured at 20/200.
• Corneal examination reveals opacification.
• Intraocular pressure within normal limits.
• No signs of acute infection or other ocular abnormalities.

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SOAP Note Guidelines for Diagnosing Late congenital syphilitic interstitial keratitis (ICD-10 Code A50.31)

Assessment:

• Diagnosis: Late congenital syphilitic interstitial keratitis, moderate severity.
• ICD-10 Code: A50.31.
• Contributing factors: History of untreated congenital syphilis.
• No acute exacerbations noted.

Plan:

• Initiate benzathine penicillin G treatment.
• Prescribe topical corticosteroids for inflammation.
• Schedule follow-up in 1 month to reassess visual acuity.
• Educate patient on the importance of partner screening.

Treatment & Plan Section for ICD-10 Code A50.31 – Late congenital syphilitic interstitial keratitis

• First-line treatment includes benzathine penicillin G.
• Topical corticosteroids to manage inflammation.
• Patient education on syphilis transmission and prevention.
• Regular monitoring of visual acuity and corneal health.

Using ICD-10 Code A50.31 for Late congenital syphilitic interstitial keratitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history in SOAP notes.
• Use A50.31 for billing related to ocular complications of congenital syphilis.
• Align treatment plans with clinical guidelines for justified billing.
• Document any relevant comorbidities or complications.

Related ICD-10 Codes Often Used with Late congenital syphilitic interstitial keratitis

• A50.0 – Congenital syphilis, early symptomatic
• A50.9 – Congenital syphilis, unspecified
• H16.9 – Unspecified keratitis
• A53.9 – Syphilis, unspecified

ICD-10 Code A50.31 in Medical Billing and Insurance for Late congenital syphilitic interstitial keratitis

ICD-10 Code A50.31 is critical for billing in hospital, ER, or infectious disease settings, ensuring proper reimbursement for care provided.

Billing Notes:

• Document all relevant patient history and symptoms to support the claim.
• Use A50.31 in conjunction with other codes for comprehensive billing.
• Ensure that treatment plans are clearly outlined in the medical record.

Common CPT Pairings: