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ICD-10 Code A52.05 | Other cerebrovascular syphilis Symptoms, Diagnosis, Billing

Other cerebrovascular syphilis is a manifestation of tertiary syphilis, characterized by vascular complications affecting the central nervous system. It can lead to significant morbidity, including stroke-like symptoms and neurological deficits. Accurate coding with ICD-10 Code A52.05 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code A52.05 for Other cerebrovascular syphilis?

ICD-10 Code A52.05 represents Other cerebrovascular syphilis, a rare but serious complication of untreated syphilis that affects the blood vessels in the brain. This code should be used when documenting cases of cerebrovascular involvement due to syphilis, particularly in patients with a history of syphilis infection. Proper use of this code in clinical documentation and billing is crucial for accurate patient care and reimbursement.

ICD-10 Code A52.05 – Clinical Definition and Explanation of Other cerebrovascular syphilis

Other cerebrovascular syphilis is caused by the systemic spread of Treponema pallidum, leading to vascular inflammation and potential ischemic events in the brain. This condition requires prompt medical attention to prevent long-term neurological damage.

Key Clinical Features:

  • Neurological deficits such as weakness or paralysis on one side of the body.
  • Cognitive changes, including confusion or memory loss.
  • Headaches and visual disturbances.
  • History of untreated syphilis or late-stage syphilis.

ICD-10 Code A52.05 for Other cerebrovascular syphilis – SOAP Notes & Clinical Use

ICD-10 Code A52.05 is utilized in SOAP notes to document the presence of cerebrovascular syphilis. It plays a critical role in capturing patient symptoms, guiding assessments, and formulating treatment plans in both acute and chronic care settings.

What Does ICD-10 Code A52.05 for Other cerebrovascular syphilis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A52.05 connects subjective patient reports and objective clinical findings to a formal diagnosis of cerebrovascular syphilis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A52.05 – Other cerebrovascular syphilis

Hospitalization may be required for patients with Other cerebrovascular syphilis due to the potential for severe complications. Treatment typically involves antibiotic therapy and supportive care.

Antibiotic Therapy:

  • Benzathine penicillin G: 2.4 million units IM once.
  • Procaine penicillin: 1.2 million units IM daily for 10-14 days.
  • Doxycycline: 100 mg orally twice daily for 14 days (alternative).

Supportive Care:

  • Monitoring neurological status and vital signs.
  • Physical therapy to aid recovery of motor function.
  • Pain management as needed.

Infection Control:

  • Standard precautions to prevent transmission.
  • Education on safe practices to reduce risk of syphilis spread.

How to Document Symptoms of Other cerebrovascular syphilis (ICD-10 A52.05) in SOAP Notes

Subjective:

  • Patient reports sudden onset of weakness on the right side.
  • Complaints of severe headaches and confusion.
  • History of untreated syphilis infection.
  • Visual disturbances noted by the patient.

Objective:

  • Neurological examination reveals right-sided hemiparesis.
  • CT scan shows ischemic changes in the left hemisphere.
  • Blood pressure elevated at 150/90 mmHg.
  • No signs of fever or infection.
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SOAP Note Guidelines for Diagnosing Other cerebrovascular syphilis (ICD-10 Code A52.05)

Assessment:

  • Diagnosis: Other cerebrovascular syphilis, severe.
  • ICD-10 Code: A52.05.
  • Contributing factors: History of untreated syphilis.
  • Triggers: Possible vascular risk factors.

Plan:

  • Initiate benzathine penicillin G treatment.
  • Refer to neurology for further evaluation.
  • Educate patient on syphilis transmission and prevention.
  • Schedule follow-up in one week to monitor progress.

Treatment & Plan Section for ICD-10 Code A52.05 – Other cerebrovascular syphilis

  • First-line treatment with benzathine penicillin G.
  • Consideration of alternative antibiotics if allergic.
  • Physical therapy to assist with rehabilitation.
  • Regular follow-up appointments to monitor neurological recovery.

Using ICD-10 Code A52.05 for Other cerebrovascular syphilis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and history in Subjective (S) and Objective (O) sections.
  • Use A52.05 for billing when cerebrovascular complications are confirmed.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Include relevant CPT codes that correspond to the services provided.

ICD-10 Code A52.05 in Medical Billing and Insurance for Other cerebrovascular syphilis

ICD-10 Code A52.05 is critical in billing for hospital, ER, or infectious disease care related to cerebrovascular syphilis.

Billing Notes:

  • Document all relevant patient history and symptoms to support the diagnosis.
  • Use A52.05 in settings where cerebrovascular complications are treated.
  • Ensure that all chart elements align with coding guidelines for accurate claims.

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically involving a detailed history and examination.
70450CT scan of the head for evaluation of neurological symptoms.
93000Electrocardiogram, ECG, for cardiac evaluation.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A52.05 for Other cerebrovascular syphilis

What are the common symptoms of Other cerebrovascular syphilis?

Common symptoms include sudden weakness or paralysis, confusion, severe headaches, and visual disturbances. These symptoms arise due to vascular complications affecting the brain.

How is Other cerebrovascular syphilis treated?

Treatment typically involves antibiotic therapy with benzathine penicillin G, along with supportive care such as physical therapy and monitoring of neurological status.

When should ICD-10 Code A52.05 be used?

ICD-10 Code A52.05 should be used when documenting cases of cerebrovascular syphilis, particularly in patients with a history of syphilis infection and presenting neurological symptoms.

What is the importance of accurate coding for Other cerebrovascular syphilis?

Accurate coding is essential for proper diagnosis, treatment planning, reimbursement, and public health reporting, ensuring that patients receive appropriate care.

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