Is A52.11 a billable ICD-10-CM code?

Yes. A52.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does A52.11 sit in the tabular list?

Certain infectious and parasitic diseases (A00-B99), in the block Infections with a predominantly sexual mode of transmission (A50-A64).

A52.11

A52.11 — Tabes dorsalis

Billable / specific codeICD-10-CM

A52.11 is a billable, specific ICD-10-CM code for tabes dorsalis. It is valid for submission on a claim.

Inclusion terms

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

Locomotor ataxia (progressive)
Tabetic neurosyphilis

Other codes that can never be billed with A52.11

These codes carry an Excludes1 note pointing at A52.11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A52.11 alone.

M49Spondylopathies in diseases classified elsewhere
M90Osteopathies in diseases classified elsewhere
R26Abnormalities of gait and mobility
G32.0Subacute combined degeneration of spinal cord in diseases classified elsewhere
G98.0Neurogenic arthritis, not elsewhere classified

Risk adjustment

A52.11 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

A52.11 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52996Billing and Coding: Routine Foot Care
A56232Billing and Coding: Foot Care
A56680Billing and Coding: Routine Foot Care
A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)

How A52.11 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to A52.11.

Pel's crisis
Ataxia, ataxy, ataxic›locomotor(progressive) (syphilitic) (partial) (spastic)
Atrophy, atrophic›neurogenic, bone, tabetic
Crisis›Pel's(tabetic)
Crisis›tabetic
Duchenne's›locomotor ataxia(syphilitic)
Neurosyphilis›tabes, tabetic(dorsalis)
Radiculopathy›syphilitic
Syphilis, syphilitic›ataxia(locomotor)
Syphilis, syphilitic›combined spinal sclerosis
Syphilis, syphilitic›locomotor ataxia
Syphilis, syphilitic›tabes dorsalis(late)

Related codes at this level

Codes that share A52.1. If A52.11 is not quite right, the correct code is usually one of these.

Questions about A52.11

Is A52.11 a billable ICD-10-CM code?: Yes. A52.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does A52.11 sit in the tabular list?: Certain infectious and parasitic diseases (A00-B99), in the block Infections with a predominantly sexual mode of transmission (A50-A64).