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A52.10 ICD-10-CM Code: Symptomatic neurosyphilis, unspecified

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)

A52.10

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

Symptomatic neurosyphilis, unspecified

This code describes syphilis that has spread to the nervous system and is causing symptoms, but the specific type of nervous system involvement has not been identified. Neurosyphilis occurs when the syphilis bacteria damages the brain, spinal cord, or nerves.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

HCC 3

Varies by metal level

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
A52Late syphilis
A52.1Symptomatic neurosyphilis
A52.10Symptomatic neurosyphilis, unspecified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A52.10 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A52.10 in this effective period.

Related Child Codes

Official
A52.11Tabes dorsalis
A52.12Other cerebrospinal syphilis
A52.13Late syphilitic meningitis
A52.14Late syphilitic encephalitis
A52.15Late syphilitic neuropathy

Includes

Official

ICD-10-CM does not list Includes notes for A52.10 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A52.10 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A52.10 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A52.10 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A52.10 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when neurosyphilis is confirmed but the specific manifestation (such as general paresis, tabes dorsalis, or meningitis) is not documented; if a specific type is identified, use a more specific A52.1x code
Ensure the patient has documented evidence of syphilis infection and neurological symptoms; coordinate with the provider if the documentation is unclear about which type of neurosyphilis is present

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 A52.10 an HCC code?

No. A52.10 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
A52.10
Description
Symptomatic neurosyphilis, unspecified
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

A52.10 is the ICD-10-CM diagnosis code for symptomatic neurosyphilis, unspecified. This code describes syphilis that has spread to the nervous system and is causing symptoms, but the specific type of nervous system involvement has not been identified. Neurosyphilis occurs when the syphilis bacteria damages the brain, spinal cord, or nerves. A52.10 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).

A52.10 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 neurosyphilis is confirmed but the specific manifestation (such as general paresis, tabes dorsalis, or meningitis) is not documented; if a specific type is identified, use a more specific A52.1x code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A52.10 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 neurosyphilis is confirmed but the specific manifestation (such as general paresis, tabes dorsalis, or meningitis) is not documented; if a specific type is identified, use a more specific A52.1x code
  • Ensure the patient has documented evidence of syphilis infection and neurological symptoms; coordinate with the provider if the documentation is unclear about which type of neurosyphilis is present

Child Codes

Code Hierarchy

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