Other genitourinary symptomatic late syphilis

This code signifies late-stage syphilis affecting the genitourinary system, presenting with symptoms such as neurogenic bladder, impotence, or other urinary tract dysfunction directly attributable to the syphilitic infection. It indicates a chronic infection where the spirochete Treponema pallidum has caused damage to the genitourinary organs or their neurological control.

Apply this code when documentation clearly links genitourinary symptoms (e.g., urinary incontinence, erectile dysfunction, bladder atony) to a confirmed diagnosis of late syphilis. This diagnosis typically follows positive serological tests for syphilis and a thorough clinical evaluation ruling out other causes for the genitourinary dysfunction.

• Ensure the documentation explicitly states "late syphilis" and details the specific genitourinary symptoms.
• Do not use this code for congenital syphilis or asymptomatic late syphilis; specific codes exist for those presentations.
• Sequence this code as the primary diagnosis when the genitourinary symptoms are the focus of the encounter and directly caused by late syphilis.