Other late congenital syphilis, symptomatic

This code signifies symptomatic manifestations of congenital syphilis that appear after infancy, typically beyond two years of age. These late-onset symptoms can affect various organ systems, including bones, joints, teeth, eyes, ears, and the central nervous system, resulting from untreated or inadequately treated syphilis acquired in utero.

Use this code for patients diagnosed with late congenital syphilis who are exhibiting active signs or symptoms of the disease. Documentation should clearly describe the specific symptomatic manifestations (e.g., Hutchinson's teeth, interstitial keratitis, saddle nose, neurosyphilis) and confirm the congenital origin of the infection.

• Distinguish from early congenital syphilis (symptoms appearing before age two) and acquired syphilis in adults.
• Always code any specific symptomatic manifestations (e.g., keratitis, osteitis) in addition to this code to provide a complete clinical picture.
• Ensure documentation specifies "congenital" and "late" to support the use of this specific code.