2025 ICD-10-CM code A53
Other and unspecified syphilis.
Medical necessity for testing and treatment is based on symptoms, exposure risk (sexual contact with an infected individual), and public health concerns related to STI transmission.
Clinicians diagnose syphilis based on patient history, physical examination (looking for chancres, rashes, etc.), and laboratory tests (blood tests, dark-field microscopy, PCR). Treatment usually involves antibiotics, primarily penicillin. Patient education on safe sex practices and the importance of partner notification is crucial.
- Certain infectious and parasitic diseases (A00-B99)
- Infections with a predominantly sexual mode of transmission (A50-A64)
In simple words: This code is used when a person has syphilis, but the doctor hasn't specified what kind or hasn't identified a specific stage of the disease.
This code encompasses syphilis cases where the specific type or manifestation isn't identified or documented by the provider. It includes situations where the provider doesn't specify the stage or type of syphilis.
Example 1: A patient presents with a genital sore but hasn't yet received confirmatory testing. The provider suspects syphilis but cannot yet specify the stage or type, so A53 is used., A patient has a history of treated syphilis, but current symptoms suggest a recurrence. Without specific details on the type or stage of the reinfection, A53 is appropriate., A patient reports sexual contact with a partner diagnosed with syphilis but shows no symptoms themselves.A53 may be used until testing confirms or rules out infection and if/when a specific type or stage can be determined.
Documentation should include details of sexual history, symptoms, physical exam findings (presence and location of lesions, rashes), and results of serologic tests. Any relevant history of prior syphilis infection or treatment should also be noted.
** A53 is a general code, and more specific codes should be used when the type and stage of syphilis are known.It is important to note that the information provided is current as of November 30, 2024, and coding guidelines and medical practices are subject to change. Always consult up-to-date resources for the most accurate information.
- Specialties:Infectious Disease, Dermatology, Urology, Obstetrics/Gynecology, Internal Medicine, Family Medicine, Pediatrics
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Public Health Clinic, Family Planning Center