A53.0 ICD-10-CM Code: Latent syphilis, unspecified as early or late
HCC Buddy Code Card
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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)
A53.0
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceLatent syphilis, unspecified as early or late
This code describes syphilis infection that is present in the body but shows no symptoms and has an unknown duration (whether it occurred recently or long ago). The person has tested positive for syphilis but has no active signs of the disease.
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
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Code Book Path
Inclusion Terms
Official- Latent syphilis NOS
- Positive serological reaction for syphilis
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for A53.0 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for A53.0 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for A53.0 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for A53.0 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for A53.0 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for A53.0 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 A53.0 an HCC code?
No. A53.0 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
A53.0 is the ICD-10-CM diagnosis code for latent syphilis, unspecified as early or late. This code describes syphilis infection that is present in the body but shows no symptoms and has an unknown duration (whether it occurred recently or long ago). The person has tested positive for syphilis but has no active signs of the disease. A53.0 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).
A53.0 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 duration of latent syphilis cannot be determined as early (less than 2 years) or late (2 years or more); if duration is known, use A53.11 (early latent) or A53.12 (late latent) instead.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A53.0 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 duration of latent syphilis cannot be determined as early (less than 2 years) or late (2 years or more); if duration is known, use A53.11 (early latent) or A53.12 (late latent) instead
- •Latent syphilis requires documentation of positive serological testing; ensure the medical record supports the diagnosis before coding