ICD-10 Code A52.04 | Syphilitic cerebral arteritis Symptoms, Diagnosis, Billing

Syphilitic cerebral arteritis is a rare but serious complication of syphilis, characterized by inflammation of the cerebral arteries due to the Treponema pallidum infection. This condition can lead to significant neurological deficits and requires prompt diagnosis and treatment. The ICD-10 Code A52.04 facilitates accurate documentation, billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this serious condition.

What is ICD-10 Code A52.04 for Syphilitic cerebral arteritis?

ICD-10 Code A52.04 represents syphilitic cerebral arteritis, an inflammatory condition affecting the cerebral arteries as a result of syphilis infection. This code should be used when documenting cases of cerebral arteritis linked to syphilis, ensuring proper identification of the underlying cause for treatment and billing purposes.

ICD-10 Code A52.04 – Clinical Definition and Explanation of Syphilitic cerebral arteritis

Syphilitic cerebral arteritis occurs when the Treponema pallidum bacteria invade the cerebral arteries, leading to inflammation and potential ischemia. This condition can progress rapidly, resulting in severe neurological complications, making timely medical intervention crucial.

Key Clinical Features:

• Headaches and neurological deficits
• Altered mental status or confusion
• Focal neurological signs
• Possible seizures

ICD-10 Code A52.04 for Syphilitic cerebral arteritis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A52.04 is utilized to document the diagnosis of syphilitic cerebral arteritis, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A52.04 for Syphilitic cerebral arteritis Mean in SOAP Notes?

ICD-10 Code A52.04 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of syphilitic cerebral arteritis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A52.04 – Syphilitic cerebral arteritis

Syphilitic cerebral arteritis requires urgent medical attention, often necessitating hospitalization for effective management.

Antibiotic Therapy:

• Benzathine penicillin G (first-line) for 10-14 days
• Doxycycline (alternative) for 14-28 days
• Ceftriaxone (alternative) for 10-14 days
• Consideration of intravenous therapy in severe cases

Supportive Care:

• Monitoring neurological status
• Symptomatic treatment for headaches
• Management of seizures if present
• Physical therapy for rehabilitation

Infection Control:

• Standard precautions to prevent transmission
• Isolation if secondary syphilis is suspected
• Education on safe practices to prevent spread

How to Document Symptoms of Syphilitic cerebral arteritis (ICD-10 A52.04) in SOAP Notes

Subjective:

• Patient reports severe headaches
• Complaints of confusion and disorientation
• History of syphilis treatment
• Reports of focal weakness in the right arm

Objective:

• Neurological examination shows altered mental status
• CT/MRI reveals cerebral artery inflammation
• Vital signs stable but with elevated blood pressure
• Seizure activity noted during assessment

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SOAP Note Guidelines for Diagnosing Syphilitic cerebral arteritis (ICD-10 Code A52.04)

Assessment:

• Diagnosis: Syphilitic cerebral arteritis, moderate severity
• ICD-10 Code: A52.04
• Contributing factors: Recent syphilis infection
• Neurological deficits observed.

Plan:

• Initiate benzathine penicillin G treatment
• Monitor neurological status closely
• Provide education on syphilis and its complications
• Schedule follow-up in one week for reassessment.

Treatment & Plan Section for ICD-10 Code A52.04 – Syphilitic cerebral arteritis

• First-line treatment with benzathine penicillin G
• Consideration of alternative antibiotics based on patient response
• Regular monitoring of neurological function
• Patient education on syphilis management and prevention

Using ICD-10 Code A52.04 for Syphilitic cerebral arteritis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history
• Use A52.04 in conjunction with relevant clinical findings
• Align treatment plans with clinical guidelines for billing justification
• Include all relevant CPT codes for services rendered

Related ICD-10 Codes Often Used with Syphilitic cerebral arteritis

• A50.0 – Congenital syphilis
• A52.00 – Syphilitic meningitis
• A52.01 – Syphilitic myelitis
• A52.03 – Syphilitic aortitis

ICD-10 Code A52.04 in Medical Billing and Insurance for Syphilitic cerebral arteritis

ICD-10 Code A52.04 is critical for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis
• Use A52.04 in the context of acute care settings for accurate billing
• Ensure all treatment plans are documented to justify claims
• Include patient history of syphilis for comprehensive documentation

Common CPT Pairings: