A50.4

Late congenital neurosyphilis [juvenile neurosyphilis]

FY2027Chapter 1: Certain infectious and parasitic diseases/A50–A64 Infections with a predominantly sexual mode of transmission

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

A50.4 is a non-billable ICD-10-CM code header for late congenital neurosyphilis [juvenile neurosyphilis]. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are A50.40 Late congenital neurosyphilis, unspecified; A50.41 Late congenital syphilitic meningitis; A50.42 Late congenital syphilitic encephalitis; A50.43 Late congenital syphilitic polyneuropathy and 3 more. Its coding notes include a Use additional code instruction, 3 Excludes1 entries and 6 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

This code
  • code to identify any associated mental disorder
Also from chapter/block level (1 note)
Inherited from Chapter 1 Certain infectious and parasitic diseases
  • code to identify resistance to antimicrobial drugs (Z16.-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
Also from chapter/block level (2 notes)
Inherited from A50–A64 Infections with a predominantly sexual mode of transmission
  • nonspecific and nongonococcal urethritis (N34.1)
  • Reiter's disease (M02.3-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (6 notes)
Inherited from A50–A64 Infections with a predominantly sexual mode of transmission
  • human immunodeficiency virus [HIV] disease (B20)
Inherited from Chapter 1 Certain infectious and parasitic diseases
  • carrier or suspected carrier of infectious disease (Z22.-)
  • certain localized infections - see body system-related chapters
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)
  • influenza and other acute respiratory infections (J00-J22)

Includes

Further defines or gives examples of the content of the category.

Also from chapter/block level (1 note)
Inherited from Chapter 1 Certain infectious and parasitic diseases
  • diseases generally recognized as communicable or transmissible

More specific codes under A50.4 7