ICD-10 Code A50.2 – Early congenital syphilis, unspecified (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Early congenital syphilis, unspecified is A50.2.
2026 ICD-10-CM Diagnosis Code A50.2 – Early congenital syphilis, unspecified

What it is

A50.2 identifies early congenital syphilis when the infection is present in an infant or newborn but the record does not specify the exact early manifestation. Use it when documentation confirms congenital syphilis, yet details are limited.

Clinical signs

Clinical features vary; refer to documentation. Early congenital syphilis may present with findings such as rash, nasal discharge, hepatosplenomegaly, or other signs of neonatal infection, but you should code only what is documented.

When to use this code

Use A50.2 when the provider documents early congenital syphilis without naming a more specific early form. It is appropriate for newborn or infant records describing congenital infection, especially when the chart lacks detail on the specific organ involvement or stage. Check documentation if the case is unclear.

Do not use for

Do not use this code for late congenital syphilis or for acquired syphilis in an older child or adult. If the record specifies another congenital syphilis subtype, code that more specific diagnosis instead.

Coding tip

Code the highest level of specificity documented, and query the provider if “congenital syphilis” is stated without an early versus late designation.

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