A50-A64 Infections with sexual mode of transmission

ICD-10-CM-tabular April 1 2023

Infections with a predominantly sexual mode of transmission

Excludes1: human immunodeficiency virus [HIV] disease (B20) nonspecific and nongonococcal urethritis (N34.1)

Reiter’s disease (M02.3-)

A50 Congenital syphilis
A50.0 Early congenital syphilis, symptomatic

Any congenital syphilitic condition specified as early or manifest less than two years after birth.

1. A50.01  Early congenital syphilitic oculopathy
2. A50.02  Early congenital syphilitic osteochondropathy
3. A50.03  Early congenital syphilitic pharyngitis Early congenital syphilitic laryngitis
4. A50.04  Early congenital syphilitic pneumonia
5. A50.05  Early congenital syphilitic rhinitis
6. A50.06  Early cutaneous congenital syphilis
7. A50.07  Early mucocutaneous congenital syphilis
8. A50.08  Early visceral congenital syphilis
9. A50.09  Other early congenital syphilis, symptomatic

A50.1 Early congenital syphilis, latent

Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, less than two years after birth.

A50.2 Early congenital syphilis, unspecified

Congenital syphilis NOS less than two years after birth.

A50.3 Late congenital syphilitic oculopathy

Excludes1: Hutchinson’s triad (A50.53)
A50.30 Late congenital syphilitic oculopathy, unspecified A50.31 Late congenital syphilitic interstitial keratitis A50.32 Late congenital syphilitic chorioretinitis
A50.39 Other late congenital syphilitic oculopathy

A50.4 Late congenital neurosyphilis [juvenile neurosyphilis]
Use additional code to identify any associated mental disorder Excludes1: Hutchinson’s triad (A50.53)

40. A50.40  Late congenital neurosyphilis, unspecified Juvenile neurosyphilis NOS
41. A50.41  Late congenital syphilitic meningitis
42. A50.42  Late congenital syphilitic encephalitis
43. A50.43  Late congenital syphilitic polyneuropathy
44. A50.44  Late congenital syphilitic optic nerve atrophy
45. A50.45  Juvenile general paresis Dementia paralytica juvenilis Juvenile tabetoparetic neurosyphilis

A50.49 Other late congenital neurosyphilis

Juvenile tabes dorsalis

5. A50.5  Other late congenital syphilis, symptomatic Any congenital syphilitic condition specified as late or manifest two years or more after birth. A50.51 Clutton’s joints
   A50.52 Hutchinson’s teeth
   A50.53 Hutchinson’s triad
   A50.54 Late congenital cardiovascular syphilis A50.55 Late congenital syphilitic arthropathy
   A50.56 Late congenital syphilitic osteochondropathy A50.57 Syphilitic saddle nose A50.59 Other late congenital syphilis, symptomatic
6. A50.6  Late congenital syphilis, latent Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, two years or more after birth.

A50.7 Late congenital syphilis, unspecified

Congenital syphilis NOS two years or more after birth.

A50.9 Congenital syphilis, unspecified A51 Early syphilis

A51.0 Primary genital syphilis

Syphilitic chancre NOS

1. A51.1  Primary anal syphilis
2. A51.2  Primary syphilis of other sites
3. A51.3  Secondary syphilis of skin and mucous membranes
   31. A51.31  Condyloma latum
   32. A51.32  Syphilitic alopecia

A51.39 Other secondary syphilis of skin

Syphilitic leukoderma Syphilitic mucous patch

Excludes1: late syphilitic leukoderma (A52.79) A51.4 Other secondary syphilis

41. A51.41  Secondary syphilitic meningitis
42. A51.42  Secondary syphilitic female pelvic disease
43. A51.43  Secondary syphilitic oculopathy Secondary syphilitic chorioretinitis Secondary syphilitic iridocyclitis, iritis Secondary syphilitic uveitis
44. A51.44  Secondary syphilitic nephritis
45. A51.45  Secondary syphilitic hepatitis
46. A51.46  Secondary syphilitic osteopathy

A51.49 Other secondary syphilitic conditions

Secondary syphilitic lymphadenopathy Secondary syphilitic myositis

A51.5 Early syphilis, latent

Syphilis (acquired) without clinical manifestations, with positive serological reaction and negative spinal fluid test, less than two years after infection.

A51.9 Early syphilis, unspecified A52 Late syphilis

A52.0 Cardiovascular and cerebrovascular syphilis

0. A52.00  Cardiovascular syphilis, unspecified
1. A52.01  Syphilitic aneurysm of aorta
2. A52.02  Syphilitic aortitis
3. A52.03  Syphilitic endocarditis Syphilitic aortic valve incompetence or stenosis Syphilitic mitral valve stenosis
   Syphilitic pulmonary valve regurgitation
4. A52.04  Syphilitic cerebral arteritis
5. A52.05  Other cerebrovascular syphilis

Syphilitic cerebral aneurysm (ruptured) (non-ruptured) Syphilitic cerebral thrombosis

A52.06 Other syphilitic heart involvement

Syphilitic coronary artery disease Syphilitic myocarditis
Syphilitic pericarditis

A52.09 Other cardiovascular syphilis A52.1 Symptomatic neurosyphilis

10. A52.10  Symptomatic neurosyphilis, unspecified
11. A52.11  Tabes dorsalis Locomotor ataxia (progressive) Tabetic neurosyphilis
12. A52.12  Other cerebrospinal syphilis
13. A52.13  Late syphilitic meningitis
14. A52.14  Late syphilitic encephalitis
15. A52.15  Late syphilitic neuropathy Late syphilitic acoustic neuritis Late syphilitic optic (nerve) atrophy Late syphilitic polyneuropathy
    Late syphilitic retrobulbar neuritis
16. A52.16  Charcôt’s arthropathy (tabetic)
17. A52.17  General paresis Dementia paralytica

A52.19 Other symptomatic neurosyphilis

Syphilitic parkinsonism

2. A52.2  Asymptomatic neurosyphilis
3. A52.3  Neurosyphilis, unspecified Gumma (syphilitic) Syphilis (late) Syphiloma

A52.7 Other symptomatic late syphilis

71. A52.71  Late syphilitic oculopathy Late syphilitic chorioretinitis Late syphilitic episcleritis
72. A52.72  Syphilis of lung and bronchus
73. A52.73  Symptomatic late syphilis of other respiratory organs
74. A52.74  Syphilis of liver and other viscera Late syphilitic peritonitis
75. A52.75  Syphilis of kidney and ureter Syphilitic glomerular disease
76. A52.76  Other genitourinary symptomatic late syphilis

Late syphilitic female pelvic inflammatory disease

A52.77 Syphilis of bone and joint

78. A52.78  Syphilis of other musculoskeletal tissue Late syphilitic bursitis
    Syphilis [stage unspecified] of bursa Syphilis [stage unspecified] of muscle Syphilis [stage unspecified] of synovium Syphilis [stage unspecified] of tendon
79. A52.79  Other symptomatic late syphilis Late syphilitic leukoderma Syphilis of adrenal gland Syphilis of pituitary gland Syphilis of thyroid gland Syphilitic splenomegaly Excludes1: syphilitic leukoderma (secondary) (A51.39)

A52.8 Late syphilis, latent

Syphilis (acquired) without clinical manifestations, with positive serological reaction and negative spinal fluid test, two years or more after infection

A52.9 Late syphilis, unspecified

53. A53  Other and unspecified syphilis A53.0 Latent syphilis, unspecified as early or late Latent syphilis NOS
    Positive serological reaction for syphilis A53.9 Syphilis, unspecified Infection due to Treponema pallidum NOS Syphilis (acquired) NOS Excludes1: syphilis NOS under two years of age (A50.2)
54. A54  Gonococcal infection A54.0 Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess Excludes1: gonococcal infection with genitourinary gland abscess (A54.1) gonococcal infection with periurethral abscess (A54.1) A54.00 Gonococcal infection of lower genitourinary tract, unspecified A54.01 Gonococcal cystitis and urethritis, unspecified
    A54.02 Gonococcal vulvovaginitis, unspecified
    A54.03 Gonococcal cervicitis, unspecified A54.09 Other gonococcal infection of lower genitourinary tract
    A54.1 Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess Gonococcal Bartholin’s gland abscess A54.2 Gonococcal pelviperitonitis and other gonococcal genitourinary infection A54.21 Gonococcal infection of kidney and ureter
    A54.22 Gonococcal prostatitis
    A54.23 Gonococcal infection of other male genital organs

Gonococcal epididymitis Gonococcal orchitis

A54.24 Gonococcal female pelvic inflammatory disease

Gonococcal pelviperitonitis

Excludes1: gonococcal peritonitis (A54.85) A54.29 Other gonococcal genitourinary infections

A54.3 Gonococcal infection of eye

30. A54.30  Gonococcal infection of eye, unspecified
31. A54.31  Gonococcal conjunctivitis Ophthalmia neonatorum due to gonococcus
32. A54.32  Gonococcal iridocyclitis
33. A54.33  Gonococcal keratitis

A54.39 Other gonococcal eye infection

Gonococcal endophthalmia

A54.4 Gonococcal infection of musculoskeletal system

40. A54.40  Gonococcal infection of musculoskeletal system, unspecified
41. A54.41  Gonococcal spondylopathy
42. A54.42  Gonococcal arthritis Excludes2: gonococcal infection of spine (A54.41)
43. A54.43  Gonococcal osteomyelitis Excludes2: gonococcal infection of spine (A54.41)

A54.49 Gonococcal infection of other musculoskeletal tissue

Gonococcal bursitis Gonococcal myositis Gonococcal synovitis Gonococcal tenosynovitis

5. A54.5  Gonococcal pharyngitis
6. A54.6  Gonococcal infection of anus and rectum

A54.8 Other gonococcal infections

81. A54.81  Gonococcal meningitis
82. A54.82  Gonococcal brain abscess
83. A54.83  Gonococcal heart infection Gonococcal endocarditis Gonococcal myocarditis Gonococcal pericarditis
84. A54.84  Gonococcal pneumonia
85. A54.85  Gonococcal peritonitis

Excludes1: gonococcal pelviperitonitis (A54.24)

A54.86 Gonococcal sepsis

A54.89 Other gonococcal infections

Gonococcal keratoderma Gonococcal lymphadenitis

A54.9 Gonococcal infection, unspecified

55. A55  Chlamydial lymphogranuloma (venereum) Climatic or tropical bubo Durand-Nicolas-Favre disease Esthiomene Lymphogranuloma inguinale
56. A56  Other sexually transmitted chlamydial diseases Includes: sexually transmitted diseases due to Chlamydia trachomatis Excludes1: neonatal chlamydial conjunctivitis (P39.1) neonatal chlamydial pneumonia (P23.1) Excludes2: chlamydial lymphogranuloma (A55) conditions classified to A74.- A56.0 Chlamydial infection of lower genitourinary tract
    0. A56.00  Chlamydial infection of lower genitourinary tract, unspecified
    1. A56.01  Chlamydial cystitis and urethritis
    2. A56.02  Chlamydial vulvovaginitis

A56.09 Other chlamydial infection of lower genitourinary tract

Chlamydial cervicitis

A56.1 Chlamydial infection of pelviperitoneum and other genitourinary organs

A56.11 Chlamydial female pelvic inflammatory disease

A56.19 Other chlamydial genitourinary infection

Chlamydial epididymitis Chlamydial orchitis

A56.2 Chlamydial infection of genitourinary tract, unspecified A56.3 Chlamydial infection of anus and rectum
A56.4 Chlamydial infection of pharynx
A56.8 Sexually transmitted chlamydial infection of other sites

57. A57  Chancroid Ulcus molle
58. A58  Granuloma inguinale Donovanosis
59. A59  Trichomoniasis
    Excludes2: intestinal trichomoniasis (A07.8) A59.0 Urogenital trichomoniasis

A59.00 Urogenital trichomoniasis, unspecified

Fluor (vaginalis) due to Trichomonas Leukorrhea (vaginalis) due to Trichomonas

1. A59.01  Trichomonal vulvovaginitis
2. A59.02  Trichomonal prostatitis
3. A59.03  Trichomonal cystitis and urethritis

A59.09 Other urogenital trichomoniasis

Trichomonas cervicitis

A59.8 Trichomoniasis of other sites

A59.9 Trichomoniasis, unspecified
A60 Anogenital herpesviral [herpes simplex] infections

A60.0 Herpesviral infection of genitalia and urogenital tract
A60.00 Herpesviral infection of urogenital system, unspecified A60.01 Herpesviral infection of penis
A60.02 Herpesviral infection of other male genital organs A60.03 Herpesviral cervicitis

A60.04 Herpesviral vulvovaginitis

Herpesviral [herpes simplex] ulceration Herpesviral [herpes simplex] vaginitis Herpesviral [herpes simplex] vulvitis

A60.09 Herpesviral infection of other urogenital tract A60.1 Herpesviral infection of perianal skin and rectum A60.9 Anogenital herpesviral infection, unspecified

63. A63  Other predominantly sexually transmitted diseases, not elsewhere classified Excludes2: molluscum contagiosum (B08.1) papilloma of cervix (D26.0) A63.0 Anogenital (venereal) warts Anogenital warts due to (human) papillomavirus [HPV] Condyloma acuminatum A63.8 Other specified predominantly sexually transmitted diseases
64. A64  Unspecified sexually transmitted disease

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