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ICD-10 Code A52.74 | Syphilis of liver and other viscera Symptoms, Diagnosis, Billing

Syphilis of liver and other viscera is a manifestation of tertiary syphilis, characterized by the infiltration of the liver and other organs by Treponema pallidum. This condition is clinically significant as it can lead to severe hepatic dysfunction and systemic complications. Accurate coding with ICD-10 Code A52.74 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this infectious disease.

What is ICD-10 Code A52.74 for Syphilis of liver and other viscera?

ICD-10 Code A52.74 represents syphilis affecting the liver and other viscera, indicating a severe stage of syphilis infection. This code should be used when documenting cases where the infection has progressed to involve internal organs, necessitating specific clinical attention and treatment. It is crucial for accurate billing and to reflect the complexity of the patient's condition in clinical documentation.

ICD-10 Code A52.74 – Clinical Definition and Explanation of Syphilis of liver and other viscera

Syphilis of liver and other viscera is a serious complication of untreated syphilis, primarily caused by the bacterium Treponema pallidum. The condition can progress to affect multiple organ systems, requiring immediate medical intervention to prevent further complications.

Key Clinical Features:

  • Hepatomegaly and liver dysfunction
  • Jaundice and elevated liver enzymes
  • Systemic symptoms such as fever and malaise
  • Potential for multi-organ involvement

ICD-10 Code A52.74 for Syphilis of liver and other viscera – SOAP Notes & Clinical Use

ICD-10 Code A52.74 is utilized in SOAP notes to document the presence of syphilis affecting the liver and other viscera. This code aids in capturing the patient's symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code A52.74 for Syphilis of liver and other viscera Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A52.74 connects subjective patient-reported symptoms with objective clinical findings, facilitating a formal diagnosis. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A52.74 – Syphilis of liver and other viscera

Syphilis of liver and other viscera requires prompt medical attention, often necessitating hospitalization for effective management.

Antibiotic Therapy:

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

Supportive Care:

  • Monitoring liver function tests
  • Symptomatic treatment for jaundice and pain
  • Nutritional support and hydration

Infection Control:

  • Implement standard precautions to prevent transmission
  • Educate patients on safe practices to avoid reinfection
  • Notify public health authorities as required

How to Document Symptoms of Syphilis of liver and other viscera (ICD-10 A52.74) in SOAP Notes

Subjective:

  • Patient reports fatigue and malaise.
  • History of untreated syphilis with recent exacerbation of symptoms.
  • Complaints of abdominal pain and jaundice.

Objective:

  • Physical examination reveals hepatomegaly.
  • Liver function tests show elevated AST and ALT.
  • Jaundice observed on examination.
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SOAP Note Guidelines for Diagnosing Syphilis of liver and other viscera (ICD-10 Code A52.74)

Assessment:

  • Diagnosis: Syphilis of liver and other viscera (ICD-10 A52.74), severe.
  • Contributing factors: History of untreated syphilis.
  • Severity: Moderate to severe hepatic involvement.

Plan:

  • Initiate benzathine penicillin G treatment.
  • Monitor liver function tests weekly.
  • Educate patient on syphilis transmission and prevention.
  • Schedule follow-up appointment in 2 weeks.

Treatment & Plan Section for ICD-10 Code A52.74 – Syphilis of liver and other viscera

  • First-line pharmacologic treatment: Benzathine penicillin G.
  • Non-pharmacologic strategies: Nutritional support and hydration.
  • Monitoring: Regular liver function tests and symptom assessment.
  • Follow-up: Schedule regular appointments to monitor treatment response.

Using ICD-10 Code A52.74 for Syphilis of liver and other viscera 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.
  • Use CPT codes that reflect the services provided in conjunction with A52.74.

ICD-10 Code A52.74 in Medical Billing and Insurance for Syphilis of liver and other viscera

ICD-10 Code A52.74 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Ensure accurate documentation of patient history and clinical findings.
  • Use A52.74 in conjunction with relevant CPT codes for comprehensive billing.
  • Document all treatment plans and follow-up care to support claims.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, Level 3.
36415Collection of venous blood by venipuncture.
80076Liver function tests.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A52.74 for Syphilis of liver and other viscera

What are the common symptoms of syphilis of the liver?

Common symptoms include jaundice, abdominal pain, fatigue, and hepatomegaly. Patients may also experience systemic symptoms such as fever and malaise, indicating a more severe infection.

How is syphilis of the liver treated?

Treatment typically involves antibiotic therapy, primarily benzathine penicillin G. Supportive care for liver function and symptom management is also essential.

Is syphilis of the liver contagious?

Syphilis is primarily transmitted through sexual contact. While the liver itself is not contagious, the underlying infection can be spread through intimate contact.

When should ICD-10 Code A52.74 be used?

This code should be used when documenting cases of syphilis that have progressed to affect the liver and other viscera, indicating a need for specialized treatment and management.

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