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A52.75 ICD-10-CM Code: Syphilis of kidney and ureter

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)

A52.75

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

Syphilis of kidney and ureter

This code describes syphilis infection that has spread to the kidneys and ureters (the tubes that carry urine from the kidneys to the bladder). This is a late-stage complication of untreated syphilis affecting the urinary system.

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
A52Late syphilis
A52.7Other symptomatic late syphilis
A52.75Syphilis of kidney and ureter

Inclusion Terms

Official
  • Syphilitic glomerular disease

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A52.75 in this effective period.

Related Child Codes

Official
A52.71Late syphilitic oculopathy
A52.72Syphilis of lung and bronchus
A52.73Symptomatic late syphilis of other respiratory organs
A52.74Syphilis of liver and other viscera
A52.76Other genitourinary symptomatic late syphilis

Includes

Official

ICD-10-CM does not list Includes notes for A52.75 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A52.75 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A52.75 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A52.75 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A52.75 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify the stage of syphilis in the medical record, as this code specifically indicates late syphilis with renal involvement; ensure documentation supports urinary tract involvement rather than other organ systems
This code should be used alongside the primary syphilis diagnosis code (A52) and may require additional codes for any resulting kidney dysfunction or urinary complications

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 A52.75 an HCC code?

No. A52.75 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

A52.75 is the ICD-10-CM diagnosis code for syphilis of kidney and ureter. This code describes syphilis infection that has spread to the kidneys and ureters (the tubes that carry urine from the kidneys to the bladder). This is a late-stage complication of untreated syphilis affecting the urinary system. A52.75 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).

A52.75 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.

Verify the stage of syphilis in the medical record, as this code specifically indicates late syphilis with renal involvement; ensure documentation supports urinary tract involvement rather than other organ systems.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A52.75 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify the stage of syphilis in the medical record, as this code specifically indicates late syphilis with renal involvement; ensure documentation supports urinary tract involvement rather than other organ systems
  • This code should be used alongside the primary syphilis diagnosis code (A52) and may require additional codes for any resulting kidney dysfunction or urinary complications

Child Codes

Code Hierarchy

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