Multiple papillomata due to yaws and wet crab yaws

This code describes the presence of multiple wart-like lesions (papillomata) that are a manifestation of yaws, a chronic tropical infection caused by the bacterium Treponema pallidum pertenue. Specifically, it indicates papillomata arising from both typical yaws lesions and the highly contagious "wet crab yaws" form, characterized by moist, ulcerative lesions, often on the soles of the feet.

Use this code when documentation clearly states the presence of multiple papillomata directly attributed to a confirmed diagnosis of yaws, including the wet crab yaws variant. This code is appropriate for patients presenting with these specific cutaneous lesions as a symptom of active yaws infection. Supporting documentation would include clinical examination findings, patient history, and potentially serological test results confirming yaws.

• Ensure documentation explicitly links the papillomata to yaws; do not assume causation.
• Distinguish from other causes of papillomata (e.g., viral warts) which would be coded differently.
• Consider sequencing this code as a primary diagnosis if the papillomata are the main reason for the encounter, or as a secondary diagnosis if yaws is being treated for other manifestations.