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A50.41 ICD-10-CM Code: Late congenital syphilitic meningitis

A50.41 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupA50.41

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

A50.41

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

Late congenital syphilitic meningitis

This is a serious brain infection caused by syphilis that was passed from mother to child before birth and develops later in childhood or adulthood. The infection causes inflammation of the protective membranes surrounding the brain and spinal cord.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 003

Code-level coefficient reference

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for A50.41. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • carrier or suspected carrier of infectious disease (Z22.-)Inherited from A00-B99, A50-A64
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)Inherited from A00-B99, A50-A64
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)Inherited from A00-B99, A50-A64
  • influenza and other acute respiratory infections (J00-J22)Inherited from A00-B99, A50-A64
  • human immunodeficiency virus [HIV] disease (B20)Inherited from A00-B99, A50-A64

Includes

Official
  • diseases generally recognized as communicable or transmissibleInherited from A00-B99

Excludes 1

Official
  • certain localized infections - see body system-related chaptersInherited from A00-B99, A50-A64, A50.4
  • nonspecific and nongonococcal urethritis (N34.1)Inherited from A00-B99, A50-A64, A50.4
  • Reiter's disease (M02.3-)Inherited from A00-B99, A50-A64, A50.4
  • Hutchinson's triad (A50.53)Inherited from A00-B99, A50-A64, A50.4

Code First

Official

No Code First sequencing instructions are included in this display for A50.41. Check the code and parent instructions in the Code Book.

Use Additional

Official
  • code to identify resistance to antimicrobial drugs (Z16.-)Inherited from A00-B99, A50.4
  • code to identify any associated mental disorderInherited from A00-B99, A50.4

Code Also

Official

No Code Also instructions are included in this display for A50.41. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
This code is used only for late manifestations of congenital syphilis (typically after age 2 years); ensure documentation confirms the syphilis was acquired congenitally, not through other means
Verify that meningitis is specifically documented as the manifestation; if other late congenital syphilis complications are present, additional codes may be needed

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 A50.41 an HCC code?

A50.41 has no mapping under the current CMS-HCC V28 community payment model. A50.41 also appears in the HHS-HCC commercial risk model (HCC 003 (HHS-HCC 003 adult, RAF varies by metal level)), which is a commercial market model rather than a Medicare Advantage payment mapping.

Code
A50.41
Description
Late congenital syphilitic meningitis
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

Coder workflow notes

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What This Code Means

A50.41 is the ICD-10-CM diagnosis code for late congenital syphilitic meningitis. This is a serious brain infection caused by syphilis that was passed from mother to child before birth and develops later in childhood or adulthood. The infection causes inflammation of the protective membranes surrounding the brain and spinal cord. A50.41 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).

A50.41 has no mapping under the current CMS-HCC V28 community payment model. A50.41 also appears in the HHS-HCC commercial risk model (HCC 003 (HHS-HCC 003 adult, RAF varies by metal level)), which is a commercial market model rather than a Medicare Advantage payment mapping. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.

This code is used only for late manifestations of congenital syphilis (typically after age 2 years); ensure documentation confirms the syphilis was acquired congenitally, not through other means.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for A50.41 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code is used only for late manifestations of congenital syphilis (typically after age 2 years); ensure documentation confirms the syphilis was acquired congenitally, not through other means
  • Verify that meningitis is specifically documented as the manifestation; if other late congenital syphilis complications are present, additional codes may be needed

Child Codes

Code Hierarchy

Also searched as

  • A50 41
  • A5041

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