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A51.39 ICD-10-CM Code: Other secondary syphilis of skin

ICD-10-CM Code View

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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)

A51.39

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

Other secondary syphilis of skin

This code describes a skin manifestation of secondary syphilis that doesn't fit into other specified categories. Secondary syphilis occurs weeks to months after initial infection and can cause various rashes and skin lesions.

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
A51Early syphilis
A51.3Secondary syphilis of skin and mucous membranes
A51.39Other secondary syphilis of skin

Inclusion Terms

Official
  • Syphilitic leukoderma
  • Syphilitic mucous patch

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A51.39 in this effective period.

Related Child Codes

Official
A51.31Condyloma latum
A51.32Syphilitic alopecia

Includes

Official

ICD-10-CM does not list Includes notes for A51.39 in this effective period.

Excludes 1

Official
  • late syphilitic leukoderma (A52.79)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A51.39 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A51.39 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A51.39 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the skin manifestation of secondary syphilis is not better described by more specific codes (A51.31 for condyloma latum, A51.32 for mucous patches, A51.33 for other rashes)
Always verify the stage of syphilis (primary, secondary, latent, or tertiary) is documented before coding, as this affects code selection and treatment decisions

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 A51.39 an HCC code?

No. A51.39 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
A51.39
Description
Other secondary syphilis of skin
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

A51.39 is the ICD-10-CM diagnosis code for other secondary syphilis of skin. This code describes a skin manifestation of secondary syphilis that doesn't fit into other specified categories. Secondary syphilis occurs weeks to months after initial infection and can cause various rashes and skin lesions. A51.39 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).

A51.39 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.

Use this code only when the skin manifestation of secondary syphilis is not better described by more specific codes (A51.31 for condyloma latum, A51.32 for mucous patches, A51.33 for other rashes).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A51.39 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when the skin manifestation of secondary syphilis is not better described by more specific codes (A51.31 for condyloma latum, A51.32 for mucous patches, A51.33 for other rashes)
  • Always verify the stage of syphilis (primary, secondary, latent, or tertiary) is documented before coding, as this affects code selection and treatment decisions

Excludes 1, Do NOT code together

  • late syphilitic leukoderma (A52.79)

Child Codes

Code Hierarchy

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