ICD-10 Code A52.02 | Syphilitic aortitis Symptoms, Diagnosis, Billing

Syphilitic aortitis is an inflammatory condition of the aorta caused by the Treponema pallidum bacterium, which leads to significant vascular complications. This condition is clinically important as it can result in aortic aneurysm or dissection if left untreated. The ICD-10 Code A52.02 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this serious complication of syphilis.

What is ICD-10 Code A52.02 for Syphilitic aortitis?

ICD-10 Code A52.02 represents syphilitic aortitis, a rare but serious complication of tertiary syphilis characterized by inflammation of the aorta. This code should be used in clinical documentation and billing when a patient presents with symptoms indicative of aortitis related to syphilis, ensuring proper identification of the underlying disease and facilitating appropriate treatment and management.

ICD-10 Code A52.02 – Clinical Definition and Explanation of Syphilitic aortitis

Syphilitic aortitis is primarily caused by the chronic inflammatory response to Treponema pallidum infection, typically occurring in the late stages of untreated syphilis. The condition can lead to serious cardiovascular complications, necessitating prompt medical attention and intervention.

Key Clinical Features:

• Chest pain or discomfort, particularly in the back or abdomen.
• Signs of heart failure or aortic regurgitation.
• Possible presence of aortic aneurysm on imaging studies.
• History of untreated syphilis or other sexually transmitted infections.

ICD-10 Code A52.02 for Syphilitic aortitis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A52.02 is utilized to document the diagnosis of syphilitic aortitis, capturing the patient's symptoms, assessment findings, and treatment plan. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.

What Does ICD-10 Code A52.02 for Syphilitic aortitis Mean in SOAP Notes?

ICD-10 Code A52.02 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of syphilitic aortitis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A52.02 – Syphilitic aortitis

Syphilitic aortitis requires urgent medical intervention, often necessitating hospitalization for management. Treatment typically involves antibiotic therapy and supportive care to address symptoms and prevent complications.

Antibiotic Therapy:

• Benzathine penicillin G: 2.4 million units IM once weekly for 3 weeks.
• Doxycycline: 100 mg orally twice daily for 28 days (alternative).
• Ceftriaxone: 1-2 g IV daily for 14-28 days (alternative).

Supportive Care:

• Monitoring for cardiovascular complications.
• Pain management as needed.
• Management of heart failure symptoms if present.

Infection Control:

• Standard precautions to prevent transmission.
• Education on safe sexual practices.

How to Document Symptoms of Syphilitic aortitis (ICD-10 A52.02) in SOAP Notes

Subjective:

• Patient reports chest pain radiating to the back.
• History of untreated syphilis.
• Complaints of fatigue and shortness of breath.
• Reports of palpitations.

Objective:

• Vital signs: BP 90/60 mmHg, HR 110 bpm.
• Auscultation reveals a diastolic murmur.
• Imaging shows a dilated aorta.
• Laboratory tests indicate elevated inflammatory markers.

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SOAP Note Guidelines for Diagnosing Syphilitic aortitis (ICD-10 Code A52.02)

Assessment:

• Diagnosis: Syphilitic aortitis, moderate severity.
• ICD-10 Code: A52.02.
• Contributing factors: History of untreated syphilis.
• Potential triggers: Infection and inflammation.

Plan:

• Initiate benzathine penicillin G therapy.
• Refer to cardiology for further evaluation.
• Educate patient on the importance of follow-up care.
• Schedule follow-up appointment in 1 week.

Treatment & Plan Section for ICD-10 Code A52.02 – Syphilitic aortitis

• First-line pharmacologic treatment: Benzathine penicillin G.
• Non-pharmacologic strategies: Patient education on syphilis management.
• Monitoring practices: Regular follow-up and imaging to assess aortic size.
• Follow-up recommendations: Cardiology referral and routine check-ups.

Using ICD-10 Code A52.02 for Syphilitic aortitis in Billing & SOAP Note Compliance

• Select appropriate ICD-10 code based on clinical findings.
• Document symptoms clearly under Subjective (S) and Objective (O) sections.
• Ensure treatment plans align with clinical guidelines for justified billing.
• Include relevant CPT codes that correspond with the diagnosis.

Related ICD-10 Codes Often Used with Syphilitic aortitis

• A52.00 – Syphilitic infection of unspecified site
• A52.01 – Syphilitic aortitis, acute
• A52.03 – Syphilitic aortitis, chronic
• A53.0 – Secondary syphilis

ICD-10 Code A52.02 in Medical Billing and Insurance for Syphilitic aortitis

ICD-10 Code A52.02 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use the code in conjunction with appropriate CPT codes for billing.
• Ensure that the patient's history of syphilis is clearly noted.
• Include any complications or additional diagnoses in the documentation.

Common CPT Pairings: