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ICD-10 Code A52.76 | Other genitourinary symptomatic late syphilis Symptoms, Diagnosis, Billing

Other genitourinary symptomatic late syphilis is a manifestation of tertiary syphilis, characterized by various genitourinary symptoms resulting from untreated or inadequately treated syphilis. This condition is clinically significant as it can lead to severe complications, including organ damage and systemic infection. The ICD-10 Code A52.76 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this serious condition.

What is ICD-10 Code A52.76 for Other genitourinary symptomatic late syphilis?

ICD-10 Code A52.76 represents Other genitourinary symptomatic late syphilis, a late-stage manifestation of syphilis that can cause significant genitourinary symptoms. This code should be used when documenting cases where patients present with symptoms related to the genitourinary system due to late syphilis, ensuring proper coding for diagnosis and treatment in clinical documentation and billing.

ICD-10 Code A52.76 – Clinical Definition and Explanation of Other genitourinary symptomatic late syphilis

Other genitourinary symptomatic late syphilis is caused by the Treponema pallidum bacterium, which can lead to severe complications if left untreated. The condition progresses from primary and secondary stages to late syphilis, necessitating medical intervention to prevent further health deterioration.

Key Clinical Features:

  • Presence of genitourinary symptoms such as dysuria, urethral discharge, or genital lesions.
  • Potential for systemic complications affecting other organ systems.
  • History of untreated or inadequately treated syphilis.
  • Increased risk of transmission to sexual partners.

ICD-10 Code A52.76 for Other genitourinary symptomatic late syphilis – SOAP Notes & Clinical Use

ICD-10 Code A52.76 is utilized in SOAP notes to document the presence of genitourinary symptoms associated with late syphilis. It plays a crucial role in the assessment and treatment planning process, ensuring that both acute and chronic care settings accurately capture the patient's condition.

What Does ICD-10 Code A52.76 for Other genitourinary symptomatic late syphilis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A52.76 connects subjective patient-reported symptoms with objective clinical findings, facilitating a formal diagnosis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A52.76 – Other genitourinary symptomatic late syphilis

The management of Other genitourinary symptomatic late syphilis requires prompt medical attention and appropriate treatment strategies.

Antibiotic Therapy:

  • Benzathine penicillin G: 2.4 million units IM once.
  • Doxycycline: 100 mg orally twice daily for 14 days (alternative).
  • Tetracycline: 500 mg orally four times daily for 14 days (alternative).

Supportive Care:

  • Symptomatic relief for pain and discomfort.
  • Counseling on safe sexual practices.
  • Regular follow-up for monitoring treatment response.

Infection Control:

  • Educate patients on the importance of notifying sexual partners.
  • Implement safe sex practices to prevent transmission.
  • Consider public health reporting if applicable.

How to Document Symptoms of Other genitourinary symptomatic late syphilis (ICD-10 A52.76) in SOAP Notes

Subjective:

  • Patient reports dysuria and urethral discharge.
  • History of untreated syphilis.
  • Complaints of genital lesions.
  • Increased frequency of urination.

Objective:

  • Genital examination reveals lesions and discharge.
  • Urinalysis shows signs of infection.
  • Vital signs within normal limits.
  • No systemic signs of infection noted.
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SOAP Note Guidelines for Diagnosing Other genitourinary symptomatic late syphilis (ICD-10 Code A52.76)

Assessment:

  • Diagnosis: Other genitourinary symptomatic late syphilis, moderate severity.
  • ICD-10 Code: A52.76.
  • Contributing factors: History of untreated syphilis.
  • Triggers: Sexual activity without protection.

Plan:

  • Initiate benzathine penicillin G treatment.
  • Educate patient on safe sexual practices.
  • Schedule follow-up appointment in 1 month.
  • Monitor for treatment response and symptom resolution.

Treatment & Plan Section for ICD-10 Code A52.76 – Other genitourinary symptomatic late syphilis

  • Administer appropriate antibiotic therapy based on clinical guidelines.
  • Provide education on the importance of partner notification and safe sex.
  • Monitor symptoms and treatment efficacy through follow-up visits.
  • Document all findings and treatment plans in the patient's EHR.

Using ICD-10 Code A52.76 for Other genitourinary symptomatic late syphilis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
  • Use A52.76 for billing when genitourinary symptoms are present due to late syphilis.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Include relevant CPT codes that correspond with the services provided.

ICD-10 Code A52.76 in Medical Billing and Insurance for Other genitourinary symptomatic late syphilis

ICD-10 Code A52.76 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all relevant symptoms and history to support the use of A52.76.
  • Ensure that the code is used in conjunction with appropriate clinical findings.
  • Include detailed notes on treatment plans and patient education for billing accuracy.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, moderate complexity.
86592Syphilis serology test.
96372Therapeutic injection, subcutaneous or intramuscular.

Frequently Asked Questions

Common Questions About Using ICD-10 Code A52.76 for Other genitourinary symptomatic late syphilis

What are the common symptoms of Other genitourinary symptomatic late syphilis?

Common symptoms include dysuria, urethral discharge, and genital lesions. Patients may also experience systemic symptoms if the condition progresses.

How is Other genitourinary symptomatic late syphilis treated?

Treatment typically involves antibiotic therapy, such as benzathine penicillin G, along with supportive care and patient education on safe sexual practices.

When should ICD-10 Code A52.76 be used?

This code should be used when a patient presents with genitourinary symptoms related to late-stage syphilis, ensuring accurate documentation and billing.

What is the importance of documenting Other genitourinary symptomatic late syphilis?

Accurate documentation is crucial for effective treatment planning, billing compliance, and public health reporting to track syphilis cases.

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