2025 ICD-10-CM code A50.01
Early congenital syphilitic oculopathy.
Medical necessity is established by the presence of ocular manifestations in a newborn or infant under 2 years old with confirmed congenital syphilis.
A newborn with oculopathy due to early congenital syphilis may suffer from conjunctivitis, interstitial keratitis, and scleritis (inflammation of the cornea and sclera) of the external part of the eye and chorioretinitis (inflammation of choroid and retina of eye) and uveitis (inflammation of the middle layer of the eye) involving the internal eye structures. The patient experiences redness of eye, excessive tears, and photophobia. Providers diagnose the condition based on symptoms and examination of the eye; uveitis may exhibit a “salt-and-pepper” appearance while chorioretinitis results in a “ground-glass” appearance. Laboratory tests include serologic tests for syphilis of the mother and baby. Treatment includes steroid drops for the eye and antibiotic therapy with the antibiotic penicillin for the systemic syphilis.
- Certain infectious and parasitic diseases (A00-B99)
- Infections with a predominantly sexual mode of transmission (A50-A64)
In simple words: Early congenital syphilitic oculopathy is an eye problem that babies can get from their mothers who have syphilis. Syphilis is a disease passed through sex, and a pregnant mother can give it to her unborn baby.The baby's eyes can get inflamed and cause redness, tearing, and sensitivity to light.
Early congenital syphilitic oculopathy refers to any ophthalmological manifestation of early congenital syphilis (in which symptoms typically present less than 2 years after birth or which is specified as early) that affects the eyes. Syphilis is a sexually transmitted disease (STD) that results from infection with the bacterium Treponema pallidum; an infected mother can pass the infection to her baby in the womb.
Example 1: A newborn presents with conjunctivitis, excessive tearing, and photophobia. The mother's serological test for syphilis is positive. The newborn is diagnosed with early congenital syphilitic oculopathy., An infant under 2 years old exhibits interstitial keratitis and scleritis. Serologic tests confirm congenital syphilis, leading to a diagnosis of early congenital syphilitic oculopathy., A newborn with congenital syphilis develops chorioretinitis and uveitis, showing the characteristic "salt-and-pepper" and "ground-glass" appearances upon examination. This confirms early congenital syphilitic oculopathy.
Documentation should include the type of ocular manifestation, onset of symptoms, and any contributing factors, along with maternal serological test results and infant examination findings.
- Specialties:Pediatrics, Ophthalmology, Infectious Disease
- Place of Service:Inpatient Hospital, Office