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ICD-10 Code A52.77 | Syphilis of bone and joint Symptoms, Diagnosis, Billing

Syphilis of bone and joint is a rare manifestation of tertiary syphilis, characterized by the involvement of the skeletal system. It can lead to significant morbidity due to bone pain, joint inflammation, and potential deformities. Accurate coding with ICD-10 Code A52.77 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage this condition effectively.

What is ICD-10 Code A52.77 for Syphilis of bone and joint?

ICD-10 Code A52.77 represents syphilis of bone and joint, a complication of untreated syphilis that can result in osteitis or arthritis. This code should be used when documenting cases where the skeletal system is affected, allowing for appropriate clinical management and billing. It is crucial for healthcare providers to recognize this condition as part of the broader spectrum of syphilis-related complications.

ICD-10 Code A52.77 – Clinical Definition and Explanation of Syphilis of bone and joint

Syphilis of bone and joint occurs as a late complication of syphilis, typically seen in individuals with untreated or inadequately treated infections. The condition can lead to severe pain and functional impairment, necessitating prompt medical intervention.

Key Clinical Features:

  • Bone pain and tenderness
  • Joint swelling and inflammation
  • Potential for deformities
  • History of untreated syphilis

ICD-10 Code A52.77 for Syphilis of bone and joint – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code A52.77 is utilized to document the presence of syphilis affecting the bones and joints. 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 A52.77 for Syphilis of bone and joint Mean in SOAP Notes?

ICD-10 Code A52.77 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of syphilis affecting the skeletal system. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code A52.77 – Syphilis of bone and joint

Syphilis of bone and joint requires urgent medical attention, often necessitating hospitalization for severe cases. Treatment typically involves antibiotic therapy to eradicate the infection.

Antibiotic Therapy:

  • Benzathine penicillin G (1.2 million units IM once)
  • Doxycycline (100 mg orally twice daily for 14 days)
  • Ceftriaxone (1 g IM or IV daily for 10-14 days)

Supportive Care:

  • Pain management with NSAIDs
  • Physical therapy for joint mobility
  • Monitoring for complications

Infection Control:

  • Standard precautions during treatment
  • Education on transmission prevention
  • Follow-up testing for syphilis

How to Document Symptoms of Syphilis of bone and joint (ICD-10 A52.77) in SOAP Notes

Subjective:

  • Patient reports severe bone pain
  • History of untreated syphilis
  • Complaints of joint swelling
  • Difficulty in mobility

Objective:

  • Tenderness on palpation of affected bones
  • Swelling noted in joints
  • Imaging shows osteitis
  • Laboratory tests confirm syphilis
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SOAP Note Guidelines for Diagnosing Syphilis of bone and joint (ICD-10 Code A52.77)

Assessment:

  • Diagnosis: Syphilis of bone and joint, severe
  • ICD-10 Code: A52.77
  • Contributing factors: History of untreated syphilis
  • Severity: Moderate to severe

Plan:

  • Initiate benzathine penicillin G treatment
  • Provide pain management with NSAIDs
  • Schedule follow-up in 1 week
  • Educate patient on syphilis transmission

Treatment & Plan Section for ICD-10 Code A52.77 – Syphilis of bone and joint

  • First-line antibiotic therapy with benzathine penicillin G
  • Pain management strategies including NSAIDs
  • Physical therapy to improve joint function
  • Regular follow-up to monitor treatment response

Using ICD-10 Code A52.77 for Syphilis of bone and joint in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and history
  • Use A52.77 in conjunction with relevant CPT codes
  • Align treatment plans with clinical guidelines
  • Document all findings clearly in SOAP format

ICD-10 Code A52.77 in Medical Billing and Insurance for Syphilis of bone and joint

ICD-10 Code A52.77 is critical in billing for hospital, ER, or infectious disease care related to syphilis of bone and joint.

Billing Notes:

  • Document all relevant patient history and symptoms
  • Use A52.77 in appropriate clinical settings
  • Ensure all chart elements support the claim
  • Maintain compliance with coding guidelines

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically 70 minutes or more
36415Collection of venous blood by venipuncture
85025Complete blood count with automated differential
93000Electrocardiogram, ECG, routine ECG with interpretation and report

Frequently Asked Questions

Common Questions About Using ICD-10 Code A52.77 for Syphilis of bone and joint

What are the common symptoms of syphilis of bone and joint?

Common symptoms include severe bone pain, joint swelling, and tenderness. Patients may also report a history of untreated syphilis, which is crucial for diagnosis.

How is syphilis of bone and joint treated?

Treatment typically involves antibiotic therapy, primarily benzathine penicillin G, along with supportive care for pain management and physical therapy.

When should ICD-10 Code A52.77 be used?

This code should be used when documenting cases of syphilis that specifically affect the bones and joints, ensuring accurate clinical management and billing.

Is hospitalization required for syphilis of bone and joint?

Hospitalization may be necessary for severe cases, particularly if there are complications or significant pain that requires intensive management.

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