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A50.04

Billable

Early congenital syphilitic pneumonia

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This is a lung infection caused by syphilis that a baby acquires from their mother before birth, occurring within the first two years of life. It causes inflammation and fluid buildup in the lungs, making it difficult for the infant to breathe.

Coding Tips

  • •This code is specific to early congenital syphilis with pneumonia manifestation; verify documentation confirms both the congenital syphilis diagnosis and pulmonary involvement before coding
  • •Ensure this code is used only for infants/young children with documented maternal syphilis transmission; coordinate with the maternal syphilis code (A50.0x series) in the medical record for complete clinical picture

Code Hierarchy

└A50Congenital syphilis└A50.0Early congenital syphilis, symptomatic└A50.04Early congenital syphilitic pneumonia
└A50.04Early congenital syphilitic pneumonia

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