A52.03

A52.03: Syphilitic endocarditis

Billable / specific codeICD-10-CM

A52.03 is a billable, specific ICD-10-CM code for syphilitic endocarditis. It is valid for submission on a claim.

Check A52.03 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Syphilitic aortic valve incompetence or stenosis
Syphilitic mitral valve stenosis
Syphilitic pulmonary valve regurgitation

Other codes that can never be billed with A52.03

Their own Excludes1 notes name this code, so the conflict is not listed above.

I39Endocarditis and heart valve disorders in diseases classified elsewhere

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

A52.03 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56625Billing and Coding: Echocardiography
A56781Billing and Coding: Transthoracic Echocardiography (TTE)

Alphabetic index entries that lead here

Endocarditis›syphilitic
Syphilis, syphilitic›aortic(insufficiency) (regurgitation) (stenosis)
Syphilis, syphilitic›endocarditis
Syphilis, syphilitic›mitral stenosis
Syphilis, syphilitic›valvulitis NEC
Disease, diseased›coronary›ostial, syphilitic(aortic) (mitral) (pulmonary)
Endocarditis›aortic›syphilitic
Endocarditis›pulmonary›syphilitic
Insufficiency, insufficient›aortic›syphilitic
Regurgitation›pulmonary›syphilitic
Stenosis, stenotic›aortic›syphilitic
Stenosis, stenotic›mitral›syphilitic

Code history

Unchanged in every release from FY2024 to FY2027.