Syphilitic saddle nose

This code represents a specific late manifestation of syphilis, characterized by the collapse of the nasal bridge, resulting in a saddle-shaped deformity. It is a consequence of chronic inflammation and destruction of the nasal cartilage and bone due to untreated or inadequately treated syphilis.

Use this code when documentation clearly indicates a diagnosis of syphilitic saddle nose, confirming the etiology of the nasal deformity is due to syphilis. This typically applies to patients with a history of syphilis presenting with this characteristic nasal malformation. Supporting documentation should include a definitive diagnosis from a physician, often referencing a history of syphilis and the physical examination findings.

• Always ensure the documentation explicitly links the saddle nose deformity to syphilis; otherwise, a non-syphilitic saddle nose code (e.g., J39.8) may be more appropriate.
• Consider sequencing this code after the primary syphilis code (A50.x) if the syphilis is still active and being treated.
• Verify the stage of syphilis (e.g., congenital, late) to ensure accurate coding of the underlying condition if not already documented.