2025 ICD-10-CM code A50.2
Early congenital syphilis, unspecified. Congenital syphilis NOS less than two years after birth.
Medical necessity for the diagnosis and treatment of congenital syphilis is established by the presence of clinical signs and symptoms in the infant and/or positive serological test results in the infant and/or a history of untreated or inadequately treated syphilis in the mother during pregnancy.
Diagnosis of congenital syphilis involves physical examination of the newborn, serological testing of both mother and child, dark-field microscopy or immunofluorescent staining of any lesions, and potentially bone x-rays and lumbar puncture. Treatment typically involves penicillin injections.
- Certain infectious and parasitic diseases (A00-B99)
- Infections with a predominantly sexual mode of transmission (A50-A64)
In simple words: Early congenital syphilis means a baby is born with syphilis, a disease passed from the mother during pregnancy. This form of syphilis shows up before the baby turns two. This particular code means the doctor hasn't specified the exact type of early congenital syphilis the baby has.
Unspecified early congenital syphilis refers to a congenital syphilis case where symptoms appear within the first two years of life.The specific manifestation of early congenital syphilis is not specified. Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum.A pregnant woman infected with syphilis can transmit the infection to her fetus through the placenta.
Example 1: A newborn presents with a rash, snuffles, and hepatosplenomegaly. The mother's serological tests were positive for syphilis during pregnancy, but she did not receive adequate treatment. The infant's serological tests are also positive for syphilis. The physician diagnoses the infant with early congenital syphilis, unspecified, as the specific manifestation is not yet determined., An infant less than two years old presents with jaundice and failure to thrive. Upon examination and testing (including maternal history and serological testing), the infant is diagnosed with early congenital syphilis, but the specific type is not specified., A newborn appears healthy at birth, but the mother had untreated syphilis during pregnancy. The infant undergoes serological testing, and the results are positive. The infant is diagnosed with early congenital syphilis, unspecified, and begins treatment with penicillin, even though specific symptoms have not yet manifested.
Documentation should include maternal serological test results, infant physical examination findings (including skin lesions, if present), results of infant serological tests, and any other diagnostic tests performed (e.g., dark-field microscopy, bone x-rays, lumbar puncture). Details regarding the mother's syphilis treatment during pregnancy should also be documented.
- Specialties:Pediatrics, Infectious Disease, Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Office