A52.06
A52.06: Other syphilitic heart involvement
Billable / specific codeICD-10-CM
A52.06 is a billable, specific ICD-10-CM code for other syphilitic heart involvement. It is valid for submission on a claim.
Check A52.06 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Syphilitic coronary artery disease
- Syphilitic myocarditis
- Syphilitic pericarditis
Other codes that can never be billed with A52.06
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
A52.06 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
- Gumma›heart
- Gumma›myocardium
- Gumma›pericardium
- Myocarditis›syphilitic(chronic)
- Pericarditis›syphilitic
- Syphilis, syphilitic›auricular fibrillation
- Syphilis, syphilitic›cardiac decompensation
- Syphilis, syphilitic›coronary(artery) (sclerosis)
- Syphilis, syphilitic›heart(block) (decompensation) (disease) (failure)
- Syphilis, syphilitic›myocardium
- Syphilis, syphilitic›paroxysmal tachycardia
- Syphilis, syphilitic›pericardium
Code history
Unchanged in every release from FY2024 to FY2027.