ICD-10-CM Billable Code

A52.72

Syphilis of lung and bronchus

Clinical Classification Guidelines

Medical Intelligence & Overview

Syphilis of the lung and bronchus is a rare manifestation of the bacterial infection caused by Treponema pallidum. Typically known for affecting the skin and mucous membranes, syphilis can also involve internal organs, including the respiratory system, during its advanced stages. When the lungs and bronchial tubes become infected, it can lead to serious health complications if not properly diagnosed and treated. Recognizing the signs and understanding the nature of this condition is crucial for timely medical intervention.

Causes & Symptoms

Clinical Causes: The primary cause of syphilis of the lung and bronchus is the transmission of Treponema pallidum bacteria through sexual contact. Progression from untreated primary or secondary syphilis can lead to tertiary syphilis, which might involve internal organs such as the lungs. Hematogenous spread, where the bacteria travel through the bloodstream, can result in lung and bronchial infections. Reinfection with syphilis or relapse after incomplete treatment can also lead to pulmonary involvement.

Key Symptoms: Persistent cough Chest pain or discomfort Shortness of breath Fever and fatigue Unexplained weight loss Night sweats Difficulty breathing during exertion Possible chest radiograph abnormalities indicating lesions or infiltrates

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a combination of clinical assessment, laboratory testing, and imaging studies:

Treatment Protocols: Treatment relies on antibiotics, primarily penicillin, to eradicate the bacteria. The specifics include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is A52.72 a billable ICD-10 code?
Yes, A52.72 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report A52.72?
Clinical documentation must specify the nature of Syphilis of lung and bronchus and any associated comorbidities for accurate reporting.

Cite this Clinical Reference