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

ICD-10 A52.17

Billable / Specific CC

General paresis

A52
Block
1
Synonyms
174
LCDs
15
Payer Policies
50
Linked CPTs

About ICD-10-CM A52.17

ICD-10-CM code A52.17 represents General paresis. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A52). The 2026 edition of ICD-10-CM A52.17 became effective on October 1, 2025.

Coding Tips for A52.17

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

Inpatient DRG impact: CC

A52.17 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.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under A52.17. Per CMS ICD-10-CM Tabular 2026.

  • Dementia paralytica

Inpatient DRG Impact, CC

codes General paresis. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for A52.17

Local Coverage Determinations (LCDs) from CMS MACs that list A52.17 as a covered diagnosis.

174 LCDs

Showing top 10 of 174 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT Q9953 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72148 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT A9585 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72158 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72149 →
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 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A52.17.

15 policies

5 Medicare

Billing and Coding: Routine Foot Care
Policy ID: ART-52996
Billing and Coding: Foot Care
Policy ID: ART-56232
Billing and Coding: Routine Foot Care
Policy ID: ART-56680
Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
Policy ID: ART-56773
Billing and Coding: Urodynamics
Policy ID: ART-56802

2 Aetna

Bathroom and Toilet Equipment and Supplies
Policy ID: CPB-0429
Therapeutic Chairs
Policy ID: CPB-0434

CPT Codes Commonly Billed with A52.17

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

50 linkages
  • 11719 CMS LCD: Billing and Coding: Routine Foot Care and Debridement of Nails CMS LCD
  • G0127 CMS LCD: Billing and Coding: Routine Foot Care and Debridement of Nails CMS LCD
  • 11056 CMS LCD: Billing and Coding: Routine Foot Care and Debridement of Nails CMS LCD
  • 90865 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
  • 90889 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
  • G0451 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
  • 90880 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
  • 90839 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
  • G0017 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
  • 90840 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD

Convert A52.17 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
A52.17 0941 00000

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

ICD-10 A52.17, Billing FAQ

Is ICD-10 code A52.17 billable? +

Yes, A52.17 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to A52.17? +

ICD-10 A52.17 includes: Dementia paralytica.

Is A52.17 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 A52.17? +

Procedures frequently paired with A52.17 include: 11719, G0127, 11056, 90865, 90889.

What ICD-9 codes does A52.17 map to? +

Per CMS GEMs, A52.17 maps to ICD-9 codes: 0941. 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 May 31, 2026.

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