A52.79 ICD-10-CM Code: Other symptomatic late syphilis
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Infections with a predominantly sexual mode of transmission (A50-A64)
A52.79
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther symptomatic late syphilis
This code describes syphilis in its late stage with various symptoms that don't fit into other specific late syphilis categories. Late syphilis occurs years after the initial infection and can affect multiple body systems including the heart, brain, and bones.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
Basket needed
Code Book Path
Inclusion Terms
Official- Late syphilitic leukoderma
- Syphilis of adrenal gland
- Syphilis of pituitary gland
- Syphilis of thyroid gland
- Syphilitic splenomegaly
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for A52.79 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for A52.79 in this effective period.
Excludes 1
Official- syphilitic leukoderma (secondary) (A51.39)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for A52.79 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for A52.79 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for A52.79 in this effective period.
Buddy Documentation Tip
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 A52.79 an HCC code?
No. A52.79 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A52.79 is the ICD-10-CM diagnosis code for other symptomatic late syphilis. This code describes syphilis in its late stage with various symptoms that don't fit into other specific late syphilis categories. Late syphilis occurs years after the initial infection and can affect multiple body systems including the heart, brain, and bones. A52.79 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).
A52.79 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 after confirming the patient has late (tertiary) syphilis with symptoms that are not better described by more specific A52 codes (such as A52.71 for neurosyphilis or A52.73 for late syphilis of bone).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A52.79 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only after confirming the patient has late (tertiary) syphilis with symptoms that are not better described by more specific A52 codes (such as A52.71 for neurosyphilis or A52.73 for late syphilis of bone)
- •Always verify the stage of syphilis and document which body systems are affected, as this helps determine if a more specific code should be used instead
Excludes 1, Do NOT code together
- syphilitic leukoderma (secondary) (A51.39)