091.4
ICD-9-CMThis code signifies the presence of swollen lymph nodes (adenopathy) that are a direct manifestation of secondary syphilis. Secondary syphilis is a systemic stage of the infection, often characterized by a rash, fever, and generalized lymphadenopathy.
Apply this code when documentation explicitly states adenopathy as a symptom of secondary syphilis. This typically occurs after the primary chancre has healed and the spirochetes have disseminated throughout the body. Supporting documentation would include a positive syphilis serology (e.g., RPR, VDRL, FTA-ABS) and clinical findings consistent with secondary syphilis.
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