ICD-10 Code A50.32 | Late congenital syphilitic chorioretinitis Symptoms, Diagnosis, Billing

Late congenital syphilitic chorioretinitis is a severe ocular manifestation of congenital syphilis, characterized by inflammation of the choroid and retina. This condition arises from maternal syphilis infection during pregnancy, leading to significant visual impairment or blindness in affected infants. Accurate coding with ICD-10 Code A50.32 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this serious condition.

What is ICD-10 Code A50.32 for Late congenital syphilitic chorioretinitis?

ICD-10 Code A50.32 represents Late congenital syphilitic chorioretinitis, a condition resulting from congenital syphilis infection. This code should be used when documenting cases of chorioretinitis that develop in infants due to maternal syphilis. It is crucial for accurate clinical documentation and billing, particularly in settings where congenital infections are monitored and treated.

ICD-10 Code A50.32 – Clinical Definition and Explanation of Late congenital syphilitic chorioretinitis

Late congenital syphilitic chorioretinitis is caused by the transplacental transmission of Treponema pallidum, the bacterium responsible for syphilis. This condition can lead to progressive vision loss and requires immediate medical attention to prevent further complications.

Key Clinical Features:

• Presence of retinal scarring or inflammation observed during ophthalmic examination.
• History of maternal syphilis infection during pregnancy.
• Potential for significant visual impairment or blindness in affected infants.
• Symptoms may include photophobia, strabismus, or abnormal eye movements.

ICD-10 Code A50.32 for Late congenital syphilitic chorioretinitis – SOAP Notes & Clinical Use

ICD-10 Code A50.32 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with late congenital syphilitic chorioretinitis. This code aids in capturing the severity of the condition and guiding appropriate management strategies in both acute and chronic care settings.

What Does ICD-10 Code A50.32 for Late congenital syphilitic chorioretinitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A50.32 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of late congenital syphilitic chorioretinitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A50.32 – Late congenital syphilitic chorioretinitis

Late congenital syphilitic chorioretinitis requires prompt medical intervention to prevent vision loss. Treatment typically involves antibiotic therapy and supportive care.

Antibiotic Therapy:

• Benzathine penicillin G: 50,000 units/kg IM once weekly for 3 weeks.
• Alternative: Procaine penicillin G if benzathine is not available.

Supportive Care:

• Regular ophthalmologic evaluations to monitor vision and retinal health.
• Management of associated symptoms such as photophobia or strabismus.

Infection Control:

• Ensure maternal syphilis screening during pregnancy to prevent transmission.
• Educate caregivers on the importance of follow-up care and monitoring.

How to Document Symptoms of Late congenital syphilitic chorioretinitis (ICD-10 A50.32) in SOAP Notes

Subjective:

• Patient reports sensitivity to light and difficulty focusing.
• History of maternal syphilis infection during pregnancy.
• Parental concerns regarding abnormal eye movements.
• No previous ophthalmic evaluations documented.

Objective:

• Ophthalmic examination reveals retinal scarring.
• Visual acuity testing shows reduced vision.
• Presence of strabismus noted during assessment.
• No signs of acute infection or inflammation in other systems.

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SOAP Note Guidelines for Diagnosing Late congenital syphilitic chorioretinitis (ICD-10 Code A50.32)

Assessment:

• Diagnosis: Late congenital syphilitic chorioretinitis, moderate severity.
• ICD-10 Code: A50.32.
• Contributing factors: Maternal syphilis infection.
• Potential triggers: Lack of prenatal care.

Plan:

• Initiate benzathine penicillin G treatment as per guidelines.
• Schedule follow-up ophthalmology appointments every 3 months.
• Educate parents on the importance of monitoring visual development.
• Document and track any changes in symptoms or visual acuity.

Treatment & Plan Section for ICD-10 Code A50.32 – Late congenital syphilitic chorioretinitis

• First-line treatment includes benzathine penicillin G.
• Regular follow-up with ophthalmology is essential for monitoring.
• Educate caregivers on signs of visual changes.
• Document treatment response and any adverse effects.

Using ICD-10 Code A50.32 for Late congenital syphilitic chorioretinitis in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical findings.
• Document all relevant symptoms and assessments in SOAP notes.
• Ensure treatment plans align with clinical guidelines for billing.
• Use CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Late congenital syphilitic chorioretinitis

• A50.0 – Congenital syphilis, unspecified
• A50.1 – Congenital syphilis, early
• A50.9 – Congenital syphilis, unspecified
• H30.9 – Chorioretinitis, unspecified

ICD-10 Code A50.32 in Medical Billing and Insurance for Late congenital syphilitic chorioretinitis

ICD-10 Code A50.32 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Document maternal syphilis history clearly to support coding.
• Use A50.32 in conjunction with relevant clinical findings.
• Ensure all chart elements align with the diagnosis for claim approval.
• Review coding guidelines regularly to maintain compliance.

Common CPT Pairings: