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A50.31 ICD-10-CM Code: Late congenital syphilitic interstitial keratitis

A50.31 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Infections with a predominantly sexual mode of transmission (A50-A64)

A50.31

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Late congenital syphilitic interstitial keratitis

This is an eye infection caused by syphilis that was passed from mother to child before birth, occurring years after birth and causing inflammation in the clear front part of the eye (cornea). It results in scarring and vision problems that develop later in childhood or adulthood.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
A50Congenital syphilis
A50.3Late congenital syphilitic oculopathy
A50.31Late congenital syphilitic interstitial keratitis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A50.31 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A50.31 in this effective period.

Related Child Codes

Official
A50.30Late congenital syphilitic oculopathy, unspecified
A50.32Late congenital syphilitic chorioretinitis
A50.39Other late congenital syphilitic oculopathy

Includes

Official

ICD-10-CM does not list Includes notes for A50.31 in this effective period.

Excludes 1

Official
  • Hutchinson's triad (A50.53)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A50.31 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A50.31 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A50.31 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code is specific to late congenital syphilis manifestations; verify documentation confirms both the congenital syphilis diagnosis and the keratitis (eye inflammation) component
Ensure the laterality is documented (right eye, left eye, or bilateral) as additional characters may be required depending on your facility's coding system; coordinate with ophthalmology records for confirmation

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is A50.31 an HCC code?

No. A50.31 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
A50.31
Description
Late congenital syphilitic interstitial keratitis
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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

What This Code Means

A50.31 is the ICD-10-CM diagnosis code for late congenital syphilitic interstitial keratitis. This is an eye infection caused by syphilis that was passed from mother to child before birth, occurring years after birth and causing inflammation in the clear front part of the eye (cornea). It results in scarring and vision problems that develop later in childhood or adulthood. A50.31 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering infections with a predominantly sexual mode of transmission (a50-a64).

A50.31 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This code is specific to late congenital syphilis manifestations; verify documentation confirms both the congenital syphilis diagnosis and the keratitis (eye inflammation) component.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A50.31 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code is specific to late congenital syphilis manifestations; verify documentation confirms both the congenital syphilis diagnosis and the keratitis (eye inflammation) component
  • Ensure the laterality is documented (right eye, left eye, or bilateral) as additional characters may be required depending on your facility's coding system; coordinate with ophthalmology records for confirmation

Child Codes

Code Hierarchy

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