1. ICD-10-CM Codes
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2. A00-B99 Certain infectious and parasitic diseases
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3. A50-A64 Infections with a predominantly sexual mode of transmission
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4. A52- Late syphilis
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2019 ICD-10-CM Diagnosis Code A52.11

Tabes dorsalis

2016 2017 2018 2019 Billable/Specific Code

• A52.11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2019 edition of ICD-10-CM A52.11 became effective on October 1, 2018.
• This is the American ICD-10-CM version of A52.11 - other international versions of ICD-10 A52.11 may differ.

• A form of neurosyphilis characterized by slowly progressive degeneration of the spinal cord. Signs and symptoms include pain, ataxia, loss of coordination, personality changes, blindness, urinary incontinence, dementia, and degeneration of the joints.
• Parenchymatous neurosyphilis marked by slowly progressive degeneration of the posterior columns, posterior roots, and ganglia of the spinal cord. The condition tends to present 15 to 20 years after the initial infection and is characterized by lightening-like pains in the lower extremities, urinary incontinence; ataxia; severely impaired position and vibratory sense, abnormal gait (see gait disorders, neurologic), optic atrophy; argyll-robertson pupils, hypotonia, hyperreflexia, and trophic joint degeneration (charcot's joint; see arthropathy, neurogenic). (from Adams et al., Principles of Neurology, 6th ed, p726)

• 056 Degenerative nervous system disorders with mcc
• 057 Degenerative nervous system disorders without mcc

Convert A52.11 to ICD-9-CM

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change

• Type 1 Excludes: R26
  , G32.0
  , G98.0
  , M49
  , M49
  , M90
  ICD-10-CM Diagnosis Code R26

  Abnormalities of gait and mobility

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • ataxia NOS (R27.0)
  • hereditary ataxia (G11.-)
  • locomotor (syphilitic) ataxia (A52.11)
  • immobility syndrome (paraplegic) (M62.3)
  ICD-10-CM Diagnosis Code G32.0

  Subacute combined degeneration of spinal cord in diseases classified elsewhere

  2016 2017 2018 2019 Billable/Specific Code Manifestation Code

  Applicable To

  • Dana-Putnam syndrome
  • Sclerosis of spinal cord (combined) (dorsolateral) (posterolateral)

  Code First

  • underlying disease, such as:
  • anemia (D51.9)
  • dietary (D51.3)
  • pernicious (D51.0)
  • vitamin B12 deficiency (E53.8)

  Type 1 Excludes

  • syphilitic combined degeneration of spinal cord (A52.11)
  ICD-10-CM Diagnosis Code G98.0

  Neurogenic arthritis, not elsewhere classified

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Nonsyphilitic neurogenic arthropathy NEC
  • Nonsyphilitic neurogenic spondylopathy NEC

  Type 1 Excludes

  • spondylopathy (in):
  • syringomyelia and syringobulbia (G95.0)
  • tabes dorsalis (A52.11)
  ICD-10-CM Diagnosis Code M49

  Spondylopathies in diseases classified elsewhere

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code First

  • underlying disease, such as:
  • brucellosis (A23.-)
  • Charcot-Marie-Tooth disease (G60.0)
  • enterobacterial infections (A01-A04)
  • osteitis fibrosa cystica (E21.0)

  Includes

  • curvature of spine in diseases classified elsewhere
  • deformity of spine in diseases classified elsewhere
  • kyphosis in diseases classified elsewhere
  • scoliosis in diseases classified elsewhere
  • spondylopathy in diseases classified elsewhere

  Type 1 Excludes

  • curvature of spine in tuberculosis [Pott's] (A18.01)
  • enteropathic arthropathies (M07.-)
  • gonococcal spondylitis (A54.41)
  • neuropathic [tabes dorsalis] spondylitis (A52.11)
  • neuropathic spondylopathy in syringomyelia (G95.0)
  • neuropathic spondylopathy in tabes dorsalis (A52.11)
  • nonsyphilitic neuropathic spondylopathy NEC (G98.0)
  • spondylitis in syphilis (acquired) (A52.77)
  • tuberculous spondylitis (A18.01)
  • typhoid fever spondylitis (A01.05)
  ICD-10-CM Diagnosis Code M49

  Spondylopathies in diseases classified elsewhere

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code First

  • underlying disease, such as:
  • brucellosis (A23.-)
  • Charcot-Marie-Tooth disease (G60.0)
  • enterobacterial infections (A01-A04)
  • osteitis fibrosa cystica (E21.0)

  Includes

  • curvature of spine in diseases classified elsewhere
  • deformity of spine in diseases classified elsewhere
  • kyphosis in diseases classified elsewhere
  • scoliosis in diseases classified elsewhere
  • spondylopathy in diseases classified elsewhere

  Type 1 Excludes

  • curvature of spine in tuberculosis [Pott's] (A18.01)
  • enteropathic arthropathies (M07.-)
  • gonococcal spondylitis (A54.41)
  • neuropathic [tabes dorsalis] spondylitis (A52.11)
  • neuropathic spondylopathy in syringomyelia (G95.0)
  • neuropathic spondylopathy in tabes dorsalis (A52.11)
  • nonsyphilitic neuropathic spondylopathy NEC (G98.0)
  • spondylitis in syphilis (acquired) (A52.77)
  • tuberculous spondylitis (A18.01)
  • typhoid fever spondylitis (A01.05)
  ICD-10-CM Diagnosis Code M90

  Osteopathies in diseases classified elsewhere

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • osteochondritis, osteomyelitis, and osteopathy (in):
  • cryptococcosis (B45.3)
  • diabetes mellitus (E08-E13 with .69-)
  • gonococcal (A54.43)
  • neurogenic syphilis (A52.11)
  • renal osteodystrophy (N25.0)
  • salmonellosis (A02.24)
  • secondary syphilis (A51.46)
  • syphilis (late) (A52.77)

• Ataxia, ataxy, ataxic R27.0
  ICD-10-CM Diagnosis Code R27.0

  Ataxia, unspecified

  2016 2017 2018 2019 Billable/Specific Code

  Type 1 Excludes

  • ataxia following cerebrovascular disease (I69. with final characters -93)
  • locomotor (progressive) (syphilitic) (partial) (spastic) A52.11
  • spinal
    • progressive A52.11 (syphilitic)
• Atrophy, atrophic (of)
  • bone (senile) - see also Disorder, bone, specified type NEC
    • due to
      • tabes dorsalis A52.11 (neurogenic)
  • neurogenic, bone, tabetic A52.11
• Crisis
  • Pel's A52.11 (tabetic)
  • tabetic A52.11
• Duchenne's
  • locomotor ataxia A52.11 (syphilitic)
• Neurosyphilis (arrested) (early) (gumma) (late) (latent) (recurrent) (relapse) A52.3
  ICD-10-CM Diagnosis Code A52.3

  Neurosyphilis, unspecified

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Gumma (syphilitic)
  • Syphilis (late)
  • Syphiloma
  • tabes, tabetic (dorsalis) A52.11
• Pel's crisis A52.11
• Radiculopathy M54.10
  ICD-10-CM Diagnosis Code M54.10

  Radiculopathy, site unspecified

  2016 2017 2018 2019 Billable/Specific Code
  • syphilitic A52.11
• Sclerosis, sclerotic
  • spinal (cord) (progressive) G95.89
    ICD-10-CM Diagnosis Code G95.89

    Other specified diseases of spinal cord

    2016 2017 2018 2019 Billable/Specific Code

    Applicable To

    • Cord bladder NOS
    • Drug-induced myelopathy
    • Radiation-induced myelopathy

    Type 1 Excludes

    • myelopathy NOS (G95.9)
    • combined - see also Degeneration, combined
      • syphilitic A52.11
    • posterior A52.11 (syphilitic)
• Spondylopathy M48.9
  ICD-10-CM Diagnosis Code M48.9

  Spondylopathy, unspecified

  2016 2017 2018 2019 Billable/Specific Code
  • neuropathic, in
    • tabes dorsalis A52.11
• Syphilis, syphilitic (acquired) A53.9
  ICD-10-CM Diagnosis Code A53.9

  Syphilis, unspecified

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Infection due to Treponema pallidum NOS
  • Syphilis (acquired) NOS

  Type 1 Excludes

  • syphilis NOS under two years of age (A50.2)
  • central nervous system (late) (recurrent) (relapse) (tertiary) A52.3
    ICD-10-CM Diagnosis Code A52.3

    Neurosyphilis, unspecified

    2016 2017 2018 2019 Billable/Specific Code

    Applicable To

    • Gumma (syphilitic)
    • Syphilis (late)
    • Syphiloma
    • with
      • tabes (dorsalis) A52.11
      • ataxia A52.11
  • conjugal A53.9
    ICD-10-CM Diagnosis Code A53.9

    Syphilis, unspecified

    2016 2017 2018 2019 Billable/Specific Code

    Applicable To

    • Infection due to Treponema pallidum NOS
    • Syphilis (acquired) NOS

    Type 1 Excludes

    • syphilis NOS under two years of age (A50.2)
    • tabes A52.11
  • late A52.9
    ICD-10-CM Diagnosis Code A52.9

    Late syphilis, unspecified

    2016 2017 2018 2019 Billable/Specific Code
    • tabes A52.11
  • sclerosis
    • multiple A52.11
  • tabes dorsalis (late) A52.11
  • tabetic type A52.11
  • ulcer (any site) (early) (secondary) A51.39
    ICD-10-CM Diagnosis Code A51.39

    Other secondary syphilis of skin

    2016 2017 2018 2019 Billable/Specific Code

    Applicable To

    • Syphilitic leukoderma
    • Syphilitic mucous patch

    Type 1 Excludes

    • late syphilitic leukoderma (A52.79)
    • perforating A52.79
      ICD-10-CM Diagnosis Code A52.79

      Other symptomatic late syphilis

      2016 2017 2018 2019 Billable/Specific Code

      Applicable To

      • Late syphilitic leukoderma
      • Syphilis of adrenal gland
      • Syphilis of pituitary gland
      • Syphilis of thyroid gland
      • Syphilitic splenomegaly

      Type 1 Excludes

      • syphilitic leukoderma (secondary) (A51.39)
      • foot A52.11
  • ataxia A52.11 (locomotor)
  • combined spinal sclerosis A52.11
  • locomotor ataxia A52.11
• Tabes, tabetic A52.10
  ICD-10-CM Diagnosis Code A52.10

  Symptomatic neurosyphilis, unspecified

  2016 2017 2018 2019 Billable/Specific Code
  • dorsalis A52.11
  • bone A52.11
• Ulcer, ulcerated, ulcerating, ulceration, ulcerative
  • syphilitic (any site) (early) (secondary) A51.39
    ICD-10-CM Diagnosis Code A51.39

    Other secondary syphilis of skin

    2016 2017 2018 2019 Billable/Specific Code

    Applicable To

    • Syphilitic leukoderma
    • Syphilitic mucous patch

    Type 1 Excludes

    • late syphilitic leukoderma (A52.79)
    • perforating A52.79
      ICD-10-CM Diagnosis Code A52.79

      Other symptomatic late syphilis

      2016 2017 2018 2019 Billable/Specific Code

      Applicable To

      • Late syphilitic leukoderma
      • Syphilis of adrenal gland
      • Syphilis of pituitary gland
      • Syphilis of thyroid gland
      • Syphilitic splenomegaly

      Type 1 Excludes

      • syphilitic leukoderma (secondary) (A51.39)
      • foot A52.11

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.