2025 ICD-10-CM code A52.74
Syphilis of the liver and other viscera. This condition is a complication of late-stage syphilis.
Medical necessity for this code is established by the presence of syphilis and confirmation of its involvement with the liver and other specified organs. This requires appropriate diagnostic testing to confirm the diagnosis and guide treatment.
Diagnosis involves evaluating patient history, physical examination, and blood tests.Serologic tests for syphilis, dark-field microscopy, polymerase chain reaction (PCR) testing, and specialized tissue and fluid stains may be necessary.Cerebrospinal fluid analysis can help rule out neurosyphilis. Imaging studies, such as CT and MRI scans of the abdomen, and liver biopsies can also aid in diagnosis. Treatment typically involves antibiotics, and intravenous electrolytes if needed. Patient education on disease prevention and early detection is crucial.
- Certain infectious and parasitic diseases (A00-B99)
- Infections with a predominantly sexual mode of transmission (A50-A64)
In simple words: This code indicates that a patient has syphilis that has spread to their liver and other organs. Syphilis is a sexually transmitted infection.This can cause various symptoms, including tiredness, belly pain, yellowing of the skin and eyes, and problems with the liver.
Syphilis of the liver and other organs is a complication of syphilis, a sexually transmitted infection (STI) caused by the bacterium Treponema pallidum. This code is used when syphilis affects organs not specifically addressed by other codes within the syphilis category.Symptoms may include abdominal pain, fatigue, weight loss, enlarged lymph nodes, muscle aches, weakness, jaundice (with liver involvement), and other common syphilis symptoms such as a maculopapular rash, fever, and ulcers.
Example 1: A patient with a history of untreated syphilis presents with abdominal pain, jaundice, and fatigue.Tests reveal liver involvement, leading to a diagnosis of syphilis of the liver., A patient with known syphilis develops unexplained weight loss and muscle weakness.Further investigation reveals syphilitic involvement of multiple organs, including the liver and spleen., During a routine checkup for a patient with syphilis, blood tests and imaging suggest the infection has spread to the liver and other abdominal organs, even in the absence of specific symptoms.
Documentation should include the type of syphilis, the organs affected, the diagnostic methods used (e.g., serological tests, imaging studies, biopsies), and the treatment plan.
- Specialties:Infectious Disease, Internal Medicine, Gastroenterology (for liver involvement), General Practice
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office