Other late congenital neurosyphilis is a severe manifestation of syphilis that occurs in infants born to mothers with untreated syphilis. This condition can lead to significant neurological impairment and developmental delays. Accurate coding with ICD-10 Code A50.49 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that affected individuals receive appropriate care and resources.
What is ICD-10 Code A50.49 for Other late congenital neurosyphilis?
ICD-10 Code A50.49 represents Other late congenital neurosyphilis, a condition characterized by neurological complications in infants due to maternal syphilis infection. This code should be used when documenting cases of congenital neurosyphilis that do not fit into other specified categories, ensuring accurate clinical documentation and appropriate billing for healthcare services.
ICD-10 Code A50.49 – Clinical Definition and Explanation of Other late congenital neurosyphilis
Other late congenital neurosyphilis results from the transmission of Treponema pallidum from an infected mother to her fetus, leading to severe neurological complications. The condition can manifest in various ways, necessitating prompt medical attention to mitigate long-term effects.
Key Clinical Features:
- Neurological deficits such as seizures or developmental delays
- Cognitive impairment and learning disabilities
- Vision and hearing problems
- Behavioral issues and emotional disturbances
ICD-10 Code A50.49 for Other late congenital neurosyphilis – SOAP Notes & Clinical Use
ICD-10 Code A50.49 is utilized in SOAP notes to document the presence of other late congenital neurosyphilis. It plays a crucial role in capturing symptoms, assessments, and treatment plans, relevant in both acute and chronic care settings.
What Does ICD-10 Code A50.49 for Other late congenital neurosyphilis Mean in SOAP Notes?
In SOAP notes, ICD-10 Code A50.49 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of other late congenital neurosyphilis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code A50.49 – Other late congenital neurosyphilis
The management of other late congenital neurosyphilis requires urgent medical intervention, often necessitating hospitalization for comprehensive care.
Antibiotic Therapy:
- Benzathine penicillin G (first-line) - 50,000 units/kg IM once
- Procaine penicillin G (alternative) - 50,000 units/kg IM daily for 10 days
- Ceftriaxone (alternative) - 100 mg/kg IV daily for 10-14 days
Supportive Care:
- Neurological assessment and monitoring
- Developmental support and early intervention services
- Symptomatic treatment for seizures or other neurological symptoms
Infection Control:
- Standard precautions to prevent transmission
- Education on syphilis screening for pregnant women
- Monitoring for outbreaks in high-risk populations
How to Document Symptoms of Other late congenital neurosyphilis (ICD-10 A50.49) in SOAP Notes
Subjective:
- Patient reports developmental delays and difficulty with motor skills
- Family history of maternal syphilis infection
- Complaints of seizures or unusual behavior
Objective:
- Neurological examination reveals hyperreflexia
- Imaging studies show signs of cerebral atrophy
- Audiological assessment indicates hearing impairment
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
SOAP Note Guidelines for Diagnosing Other late congenital neurosyphilis (ICD-10 Code A50.49)
Assessment:
- Diagnosis: Other late congenital neurosyphilis, severe
- ICD-10 Code: A50.49
- Contributing factors: Maternal syphilis infection, lack of prenatal care
Plan:
- Initiate benzathine penicillin G treatment
- Refer to pediatric neurology for further evaluation
- Provide family education on developmental support
- Schedule follow-up in 1 month to monitor progress
Treatment & Plan Section for ICD-10 Code A50.49 – Other late congenital neurosyphilis
- Administer appropriate antibiotic therapy as per guidelines
- Implement supportive care measures for developmental delays
- Monitor neurological status regularly
- Educate caregivers on managing symptoms and follow-up care
Using ICD-10 Code A50.49 for Other late congenital neurosyphilis in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings
- Use A50.49 in relevant clinical settings for billing purposes
- Align treatment plans with clinical guidelines to support justified billing
- Include necessary CPT codes for services rendered
Related ICD-10 Codes Often Used with Other late congenital neurosyphilis
- A50.00 – Congenital syphilis, unspecified
- A50.01 – Congenital syphilis, early
- A50.02 – Congenital syphilis, late
- A53.9 – Syphilis, unspecified
ICD-10 Code A50.49 in Medical Billing and Insurance for Other late congenital neurosyphilis
ICD-10 Code A50.49 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.
Billing Notes:
- Document all relevant clinical findings and treatment plans clearly
- Use A50.49 in conjunction with appropriate CPT codes for billing
- Ensure compliance with payer requirements for documentation
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, level 3 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection |
| 99406 | Smoking and tobacco use cessation counseling visit |
Frequently Asked Questions
Common Questions About Using ICD-10 Code A50.49 for Other late congenital neurosyphilis
What are the common symptoms of other late congenital neurosyphilis?
Common symptoms include developmental delays, seizures, cognitive impairment, and sensory deficits such as vision and hearing problems. Early recognition and intervention are crucial for improving outcomes.
How is other late congenital neurosyphilis diagnosed?
Diagnosis is typically made through clinical evaluation, maternal history of syphilis, and neurological assessments. Laboratory tests may also be conducted to confirm the presence of Treponema pallidum.
What is the treatment for other late congenital neurosyphilis?
Treatment primarily involves antibiotic therapy, usually with benzathine penicillin G. Supportive care for neurological symptoms and developmental delays is also essential.
Why is accurate coding important for other late congenital neurosyphilis?
Accurate coding ensures proper diagnosis, facilitates appropriate treatment, supports billing processes, and aids in public health reporting to monitor and control syphilis outbreaks.
