ICD-10 Code A52.19 | Other symptomatic neurosyphilis Symptoms, Diagnosis, Billing

Other symptomatic neurosyphilis is a manifestation of syphilis that affects the central nervous system, leading to various neurological symptoms. It is caused by the Treponema pallidum bacterium and can result in significant morbidity if not diagnosed and treated promptly. The ICD-10 Code A52.19 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this condition.

What is ICD-10 Code A52.19 for Other symptomatic neurosyphilis?

ICD-10 Code A52.19 represents Other symptomatic neurosyphilis, which occurs when syphilis infection leads to neurological complications. This code should be used when patients exhibit symptoms such as headaches, altered mental status, or other neurological deficits related to neurosyphilis. Accurate coding is essential for clinical documentation and billing, ensuring appropriate treatment and follow-up care.

ICD-10 Code A52.19 – Clinical Definition and Explanation of Other symptomatic neurosyphilis

Other symptomatic neurosyphilis is caused by the Treponema pallidum bacterium, which can invade the central nervous system during the later stages of syphilis. This condition requires immediate medical attention due to its potential for severe neurological impairment. Early diagnosis and treatment are crucial to prevent long-term complications.

Key Clinical Features:

• Headaches and migraines
• Cognitive dysfunction or confusion
• Visual disturbances or changes
• Motor deficits or coordination issues

ICD-10 Code A52.19 for Other symptomatic neurosyphilis – SOAP Notes & Clinical Use

ICD-10 Code A52.19 is utilized in SOAP notes to document the presence of neurological symptoms associated with neurosyphilis. It plays a critical role in the assessment and treatment planning process, applicable in both acute and chronic care settings.

What Does ICD-10 Code A52.19 for Other symptomatic neurosyphilis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A52.19 connects subjective patient-reported symptoms with objective clinical findings, leading to a formal diagnosis of Other symptomatic neurosyphilis. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A52.19 – Other symptomatic neurosyphilis

The management of Other symptomatic neurosyphilis requires urgent intervention, often necessitating hospitalization for effective treatment.

Antibiotic Therapy:

• Benzathine penicillin G: 2.4 million units IM once weekly for 3 weeks
• Procaine penicillin: 2.4 million units IM daily for 10-14 days
• Doxycycline: 100 mg orally twice daily for 14 days (alternative)

Supportive Care:

• Symptomatic relief for headaches and pain management
• Neurological monitoring and rehabilitation services
• Psychiatric evaluation for cognitive or mood disturbances

Infection Control:

• Standard precautions to prevent transmission
• Education on safe practices to reduce risk of syphilis spread
• Contact tracing and treatment for sexual partners

How to Document Symptoms of Other symptomatic neurosyphilis (ICD-10 A52.19) in SOAP Notes

Subjective:

• Patient reports persistent headaches and confusion.
• History of syphilis with incomplete treatment.
• Visual disturbances noted by the patient.
• Recent changes in mood and cognitive function.

Objective:

• Neurological examination reveals decreased reflexes.
• Visual acuity testing shows impairment.
• CT scan indicates possible cerebral involvement.
• Vital signs stable; no fever present.

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SOAP Note Guidelines for Diagnosing Other symptomatic neurosyphilis (ICD-10 Code A52.19)

Assessment:

• Diagnosis: Other symptomatic neurosyphilis, moderate severity.
• ICD-10 Code: A52.19.
• Contributing factors: History of untreated syphilis.
• Triggers: Recent sexual activity without protection.

Plan:

• Initiate benzathine penicillin G treatment.
• Schedule follow-up neurological assessment in 1 week.
• Provide education on syphilis transmission and prevention.
• Monitor for any worsening neurological symptoms.

Treatment & Plan Section for ICD-10 Code A52.19 – Other symptomatic neurosyphilis

• First-line treatment with benzathine penicillin G.
• Consider alternative antibiotics for penicillin-allergic patients.
• Implement supportive care for neurological symptoms.
• Regular follow-up to monitor treatment response and symptom resolution.

Using ICD-10 Code A52.19 for Other symptomatic neurosyphilis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and history in SOAP notes.
• Use A52.19 in appropriate clinical settings, including inpatient and outpatient care.
• Align treatment plans with clinical guidelines to support billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Other symptomatic neurosyphilis

• A52.00 – Asymptomatic neurosyphilis
• A52.01 – Symptomatic neurosyphilis
• A53.0 – Congenital syphilis
• A53.9 – Syphilis, unspecified

ICD-10 Code A52.19 in Medical Billing and Insurance for Other symptomatic neurosyphilis

ICD-10 Code A52.19 is crucial for billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and symptoms to support the claim.
• Use A52.19 in conjunction with other codes as necessary for comprehensive billing.
• Ensure that all chart elements align with the diagnosis for compliance.
• Review coding guidelines to avoid denials and ensure proper reimbursement.

Common CPT Pairings: