A50.45
BillableJuvenile general paresis
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
This is a late-stage syphilis infection affecting the brain and nervous system in children, causing progressive mental deterioration, personality changes, and neurological problems. It results from untreated maternal syphilis passed to the child during pregnancy.
Coding Tips
- •Verify the patient's age at diagnosis to confirm this is juvenile (childhood) presentation rather than adult general paresis (A52.17)
- •Look for documentation of congenital syphilis history and maternal syphilis status, as this condition is a manifestation of late congenital syphilis
Code Hierarchy
└A50Congenital syphilis└A50.4Late congenital neurosyphilis [juvenile neurosyphilis]└A50.45Juvenile general paresis
└A50.45Juvenile general paresis