A52.11
Tabes dorsalis
Clinical Classification Guidelines
Inclusion Terms
- Locomotor ataxia (progressive)
- Tabetic neurosyphilis
Medical Intelligence & Overview
Tabes dorsalis is a progressive neurological disorder resulting from untreated or inadequately treated syphilis infection. It primarily affects the spinal cord's dorsal columns, leading to a loss of sensation, coordination issues, and other neurological problems. Once a common complication of syphilis, it has become rarer due to advances in antibiotic treatment. Nonetheless, understanding this condition is crucial for recognizing late-stage syphilitic complications and seeking appropriate medical attention.
Causes & Symptoms
Clinical Causes: Untreated syphilis infection, especially in its tertiary stage Progressive damage to the dorsal columns of the spinal cord Long-standing infection without intervention
Key Symptoms: Gait disturbances, often described as a wide-based, unsteady walk Sensory deficits, including loss of proprioception and vibratory sensation Severe lightning-like pain (shooting pain) in the legs and trunk Impaired coordination and tremors Arched feet (pes cavus) and foot deformities Impotence or sexual dysfunction in some cases Argyll Robertson pupils (pupils that do not constrict with light but do accommodate for near vision) Incontinence or urinary problems due to nerve involvement
Diagnostic & Treatment
Diagnosis Path: Diagnosis of tabes dorsalis is based on a combination of clinical features, patient history, and supporting tests. Medical professionals may perform the following:
Treatment Protocols: While damage caused by tabes dorsalis may not be reversible, early treatment can halt progression and manage symptoms. The main approaches include:
Clinical Advice & FAQs
Billing Guidance
Is A52.11 a billable ICD-10 code?
Yes, A52.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A52.11?
Clinical documentation must specify the nature of Tabes dorsalis and any associated comorbidities for accurate reporting.
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