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A50.6 ICD-10-CM Code: Late congenital syphilis, latent

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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)

A50.6

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

Late congenital syphilis, latent

This is a late-stage syphilis infection that was passed from mother to child before birth, where the person shows no active symptoms but still carries the infection. The disease is in a dormant or hidden state, meaning it's not currently causing noticeable problems but could potentially become active later.

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
A50.6Late congenital syphilis, latent

Inclusion Terms

Official
  • Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, two years or more after birth.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A50.6 in this effective period.

Related Child Codes

Official
A50.0Early congenital syphilis, symptomatic
A50.1Early congenital syphilis, latent
A50.2Early congenital syphilis, unspecified
A50.3Late congenital syphilitic oculopathy
A50.4Late congenital neurosyphilis [juvenile neurosyphilis]

Includes

Official

ICD-10-CM does not list Includes notes for A50.6 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A50.6 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A50.6 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A50.6 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A50.6 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code is used for congenital syphilis cases diagnosed after age 2 years with no clinical manifestations; ensure documentation confirms latent status and congenital origin
Do not use this code if there are active clinical manifestations of late congenital syphilis (such as interstitial keratitis, saddle nose, or saber shins); use the appropriate manifestation-specific code instead

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 A50.6 an HCC code?

No. A50.6 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

A50.6 is the ICD-10-CM diagnosis code for late congenital syphilis, latent. This is a late-stage syphilis infection that was passed from mother to child before birth, where the person shows no active symptoms but still carries the infection. The disease is in a dormant or hidden state, meaning it's not currently causing noticeable problems but could potentially become active later. A50.6 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).

A50.6 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 used for congenital syphilis cases diagnosed after age 2 years with no clinical manifestations; ensure documentation confirms latent status and congenital origin.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A50.6 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code is used for congenital syphilis cases diagnosed after age 2 years with no clinical manifestations; ensure documentation confirms latent status and congenital origin
  • Do not use this code if there are active clinical manifestations of late congenital syphilis (such as interstitial keratitis, saddle nose, or saber shins); use the appropriate manifestation-specific code instead

Child Codes

Code Hierarchy

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