ICD-10 Code A50.06 – Early cutaneous congenital syphilis (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Early cutaneous congenital syphilis is A50.06.
2026 ICD-10-CM Diagnosis Code A50.06 – Early cutaneous congenital syphilis

What it is

Early cutaneous congenital syphilis is a newborn or infant manifestation of congenital syphilis with skin involvement. It indicates early infection acquired from the mother before birth.

Clinical signs

Findings may include rash, desquamation, bullous lesions, or other skin changes consistent with congenital syphilis. Clinical features vary; refer to documentation.

When to use this code

Use this code when the record clearly documents early congenital syphilis with cutaneous findings. The diagnosis should identify skin involvement as part of the congenital infection, not just a nonspecific neonatal rash.

Choose it when the clinician links the rash or skin lesions to congenital syphilis. If the chart only says “possible” syphilis or gives no skin detail, check documentation before coding.

Do not use for

Do not use this code for acquired syphilis, late congenital syphilis, or a skin rash without confirmed congenital syphilis. Check documentation when the cause of the eruption is unclear.

Coding tip

Verify that congenital syphilis and cutaneous involvement are both documented before assigning A50.06.

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