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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 A52.01

Billable / Specific CC

Syphilitic aneurysm of aorta

A52
Block
0
Synonyms
188
LCDs
11
Payer Policies
48
Linked CPTs

About ICD-10-CM A52.01

ICD-10-CM code A52.01 represents Syphilitic aneurysm of aorta. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A52). The 2026 edition of ICD-10-CM A52.01 became effective on October 1, 2025.

Coding Tips for A52.01

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

A52.01 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

codes Syphilitic aneurysm of aorta. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for A52.01

Local Coverage Determinations (LCDs) from CMS MACs that list A52.01 as a covered diagnosis.

188 LCDs

Showing top 10 of 188 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93320 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A52.01.

11 policies

1 Cigna

Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510

5 Medicare

Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-52868
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Echocardiography
Policy ID: ART-56625
Billing and Coding: Magnetic Resonance Angiography (MRA)
Policy ID: ART-56747
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-56781

1 Aetna

Endovascular Repair of Aortic Diseases
Policy ID: CPB-0651

CPT Codes Commonly Billed with A52.01

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

48 linkages
  • 93319 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93307 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93351 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93355 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • J1250 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93304 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93352 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • J0280 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93318 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93308 CMS LCD: Billing and Coding: Echocardiography CMS LCD

Convert A52.01 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
A52.01 0930 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 A52.01, Billing FAQ

Is ICD-10 code A52.01 billable? +

Yes, A52.01 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is A52.01 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with A52.01? +

Procedures frequently paired with A52.01 include: 93319, 93307, 93351, 93355, J1250.

What ICD-9 codes does A52.01 map to? +

Per CMS GEMs, A52.01 maps to ICD-9 codes: 0930. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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