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ICD-10 Code A52.10 | Symptomatic neurosyphilis, unspecified Symptoms, Diagnosis, Billing

Symptomatic neurosyphilis, unspecified is a manifestation of syphilis affecting the central nervous system, characterized by neurological symptoms such as headaches, cognitive dysfunction, and other neurological deficits. Accurate coding with ICD-10 Code A52.10 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources are allocated effectively.

What is ICD-10 Code A52.10 for Symptomatic neurosyphilis, unspecified?

ICD-10 Code A52.10 represents symptomatic neurosyphilis, unspecified, which occurs when the syphilis infection progresses to affect the nervous system. This code should be used when a patient presents with neurological symptoms related to syphilis but without a more specific diagnosis. Proper documentation and billing using this code are crucial for tracking the incidence of neurosyphilis and ensuring appropriate treatment.

ICD-10 Code A52.10 – Clinical Definition and Explanation of Symptomatic neurosyphilis, unspecified

Symptomatic neurosyphilis, unspecified is caused by the Treponema pallidum bacterium, which can invade the central nervous system during the later stages of syphilis. This condition can lead to severe neurological complications if not treated promptly. Medical attention is critical to prevent further deterioration of neurological function.

Key Clinical Features:

  • Headaches and migraines
  • Cognitive impairment or confusion
  • Altered mental status or personality changes
  • Seizures or other neurological deficits

ICD-10 Code A52.10 for Symptomatic neurosyphilis, unspecified – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A52.10 is utilized to document the presence of neurological symptoms associated with syphilis. This code aids in the assessment of the patient's condition, guiding treatment decisions and ensuring accurate billing in both acute and chronic care settings.

What Does ICD-10 Code A52.10 for Symptomatic neurosyphilis, unspecified Mean in SOAP Notes?

ICD-10 Code A52.10 connects subjective reports of neurological symptoms with objective clinical findings, facilitating a formal diagnosis of symptomatic neurosyphilis. This code is essential for maintaining continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A52.10 – Symptomatic neurosyphilis, unspecified

Immediate medical intervention is necessary for symptomatic neurosyphilis to prevent irreversible neurological damage. Treatment typically involves antibiotic therapy and supportive care.

Antibiotic Therapy:

  • Penicillin G (high-dose intravenous) for 10-14 days
  • Alternative: Ceftriaxone for patients with penicillin allergy

Supportive Care:

  • Management of neurological symptoms
  • Psychiatric support for cognitive impairment
  • Physical therapy for mobility issues

Infection Control:

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

How to Document Symptoms of Symptomatic neurosyphilis, unspecified (ICD-10 A52.10) in SOAP Notes

Subjective:

  • Patient reports persistent headaches and confusion.
  • History of untreated syphilis with recent neurological symptoms.
  • Complaints of mood swings and personality changes.

Objective:

  • Neurological examination reveals cognitive deficits.
  • MRI shows signs of meningeal involvement.
  • Vital signs stable; no fever noted.
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SOAP Note Guidelines for Diagnosing Symptomatic neurosyphilis, unspecified (ICD-10 Code A52.10)

Assessment:

  • Diagnosis: Symptomatic neurosyphilis, unspecified, moderate severity.
  • ICD-10 Code: A52.10.
  • Contributing factors: History of untreated syphilis.

Plan:

  • Initiate high-dose intravenous Penicillin G for 10-14 days.
  • Refer to neurology for further evaluation.
  • Schedule follow-up in one week to assess treatment response.

Treatment & Plan Section for ICD-10 Code A52.10 – Symptomatic neurosyphilis, unspecified

  • First-line treatment with high-dose intravenous Penicillin G.
  • Consider psychiatric evaluation for cognitive symptoms.
  • Monitor neurological status and adjust treatment as necessary.
  • Educate patient on the importance of follow-up care.

Using ICD-10 Code A52.10 for Symptomatic neurosyphilis, unspecified in Billing & SOAP Note Compliance

  • Ensure accurate documentation of neurological symptoms in Subjective (S) and Objective (O) sections.
  • Use A52.10 for billing when symptomatic neurosyphilis is diagnosed.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Document any relevant comorbidities or complications.

ICD-10 Code A52.10 in Medical Billing and Insurance for Symptomatic neurosyphilis, unspecified

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

Billing Notes:

  • Document all neurological symptoms clearly to support the use of A52.10.
  • Use this code in settings where symptomatic neurosyphilis is diagnosed.
  • Ensure that all relevant clinical findings are included in the patient's chart.

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically 70 minutes or more.
96365Intravenous infusion, for therapy, prophylaxis, or diagnosis.
70450CT scan of the head or brain.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A52.10 for Symptomatic neurosyphilis, unspecified

What are the common symptoms of symptomatic neurosyphilis?

Common symptoms include headaches, cognitive dysfunction, altered mental status, and seizures. These symptoms indicate that the syphilis infection has progressed to affect the central nervous system.

How is symptomatic neurosyphilis treated?

Treatment typically involves high-dose intravenous Penicillin G for 10-14 days. Supportive care may also be necessary to manage neurological symptoms and prevent complications.

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

This code should be used when a patient presents with neurological symptoms related to syphilis without a more specific diagnosis. Accurate documentation is essential for proper billing and treatment.

Is symptomatic neurosyphilis contagious?

While the underlying syphilis infection is contagious, symptomatic neurosyphilis itself is not directly transmitted. However, the Treponema pallidum bacterium can be spread through sexual contact.

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