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

ICD-10 A52.10

Billable / Specific CC

Symptomatic neurosyphilis, unspecified

A52
Block
0
Synonyms
31
LCDs
4
Payer Policies
9
Linked CPTs

About ICD-10-CM A52.10

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

Coding Tips for A52.10

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

Inpatient DRG impact: CC

A52.10 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 Symptomatic neurosyphilis, unspecified. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for A52.10

Local Coverage Determinations (LCDs) from CMS MACs that list A52.10 as a covered diagnosis.

31 LCDs

Showing top 10 of 31 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11719 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11721 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11057 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11720 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT G0127 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11055 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11056 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 57188, Effective: 2025-10-01 00:00:00, 812 covered, 1 non-covered
CPT 11719 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 57188, Effective: 2025-10-01 00:00:00, 812 covered, 1 non-covered
CPT 11721 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 57188, Effective: 2025-10-01 00:00:00, 812 covered, 1 non-covered
CPT 11057 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A52.10.

4 policies

4 Medicare

Billing and Coding: Foot Care
Policy ID: ART-56232
Billing and Coding: Routine Foot Care
Policy ID: ART-56680
Billing and Coding: Routine Foot Care
Policy ID: ART-57188
Billing and Coding: Urodynamics
Policy ID: ART-57455

CPT Codes Commonly Billed with A52.10

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

9 linkages
  • 51741 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51728 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51729 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 55899 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51792 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51736 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51726 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51727 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51797 CMS LCD: Billing and Coding: Urodynamics CMS LCD

Convert A52.10 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
A52.10 0949 10000

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

ICD-10 A52.10, Billing FAQ

Is ICD-10 code A52.10 billable? +

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

Is A52.10 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 A52.10? +

Procedures frequently paired with A52.10 include: 51741, 51728, 51729, 55899, 51792.

What ICD-9 codes does A52.10 map to? +

Per CMS GEMs, A52.10 maps to ICD-9 codes: 0949. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included