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A50.53 ICD-10-CM Code: Hutchinson's triad

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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)

A50.53

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

Hutchinson's triad

Hutchinson's triad is a set of three specific signs of late congenital syphilis that typically appear in childhood, including dental abnormalities (peg-shaped teeth), eye problems (interstitial keratitis), and eighth nerve deafness. This condition results from untreated syphilis passed from mother to child during pregnancy.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
A50Congenital syphilis
A50.5Other late congenital syphilis, symptomatic
A50.53Hutchinson's triad

Inclusion Terms

Official
  • Any congenital syphilitic condition specified as late or manifest two years or more after birth.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A50.53 in this effective period.

Related Child Codes

Official
A50.51Clutton's joints
A50.52Hutchinson's teeth
A50.54Late congenital cardiovascular syphilis
A50.55Late congenital syphilitic arthropathy
A50.56Late congenital syphilitic osteochondropathy

Includes

Official

ICD-10-CM does not list Includes notes for A50.53 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A50.53 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A50.53 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A50.53 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A50.53 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
A50.53 is specific to Hutchinson's triad manifestations; verify documentation confirms all three classic signs are present before assigning this code
This code is part of the A50 category for congenital syphilis; ensure the maternal syphilis history is documented and coded separately if applicable

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is A50.53 an HCC code?

No. A50.53 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

A50.53 is the ICD-10-CM diagnosis code for hutchinson's triad. Hutchinson's triad is a set of three specific signs of late congenital syphilis that typically appear in childhood, including dental abnormalities (peg-shaped teeth), eye problems (interstitial keratitis), and eighth nerve deafness. This condition results from untreated syphilis passed from mother to child during pregnancy. A50.53 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).

A50.53 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.

A50.53 is specific to Hutchinson's triad manifestations; verify documentation confirms all three classic signs are present before assigning this code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A50.53 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • A50.53 is specific to Hutchinson's triad manifestations; verify documentation confirms all three classic signs are present before assigning this code
  • This code is part of the A50 category for congenital syphilis; ensure the maternal syphilis history is documented and coded separately if applicable

Child Codes

Code Hierarchy

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