2026 ICD-10-CM Diagnosis Code A50.45Juvenile general paresis

ICD-10-CM CodesA00–B99A50-A64A50

ICD-10-CM A50.45
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

A50.45 is a billable ICD-10-CM diagnosis code for juvenile general paresis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Perinatal infections and Sexually transmitted infections (excluding HIV and hepatitis).

Code Identity

ICD-10-CM Code
A50.45
Billable Status
Yes — Valid for Submission
Code Describes
Juvenile general paresis
Short Description
Juvenile general paresis
Same as the full description in the CMS dataset.
Parent Code
Late congenital neurosyphilis [juvenile neurosyphilis]

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA50-A64Infections with a predominantly sexual mode of transmission
CategoryA50Congenital syphilis
This CodeA50.45Juvenile general paresis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Chronic infectious disease of central nervous system
  • Dementia associated with neurosyphilis
  • Dementia paralytica juvenilis
  • General paresis - neurosyphilis
  • Juvenile taboparesis
  • Late congenital neurosyphilis
  • Late quaternary neurosyphilis
  • Posterior cord syndrome due to tabetic neurosyphilis
  • Progressive locomotor ataxia
  • Tabetic neurosyphilis
  • Taboparesis

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Dementia paralytica juvenilis
  • Juvenile taboparetic neurosyphilis

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Dementia(degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)
      • paralytica, paralytic (syphilitic)
        • juvenilis
    • Dennie-Marfan syphilitic syndrome
    • Neurosyphilis(arrested) (early) (gumma) (late) (latent) (recurrent) (relapse)
      • paresis, paretic
        • juvenile
    • Neurosyphilis(arrested) (early) (gumma) (late) (latent) (recurrent) (relapse)
      • tabes, tabetic (dorsalis)
        • juvenile
    • Neurosyphilis(arrested) (early) (gumma) (late) (latent) (recurrent) (relapse)
      • taboparesis (taboparetic)
        • juvenile
    • Paralysis, paralytic(complete) (incomplete)
      • general (progressive) (syphilitic)
        • juvenile
    • Paralysis, paralytic(complete) (incomplete)
      • juvenile general
    • Paresis
      • general (progressive) (syphilitic)
        • juvenile
    • Paresis
      • juvenile (general)
    • Paresis
      • syphilitic (general)
        • congenital
    • Syphilis, syphilitic(acquired)
      • central nervous system (late) (recurrent) (relapse) (tertiary)
        • with
          • general paralysis
            • juvenile
    • Syphilis, syphilitic(acquired)
      • central nervous system (late) (recurrent) (relapse) (tertiary)
        • with
          • paresis (general)
            • juvenile
    • Syphilis, syphilitic(acquired)
      • central nervous system (late) (recurrent) (relapse) (tertiary)
        • with
          • tabes (dorsalis)
            • juvenile
    • Syphilis, syphilitic(acquired)
      • central nervous system (late) (recurrent) (relapse) (tertiary)
        • with
          • taboparesis
            • juvenile
    • Syphilis, syphilitic(acquired)
      • congenital
        • with
          • paresis (general)
    • Syphilis, syphilitic(acquired)
      • congenital
        • with
          • tabes (dorsalis)
    • Syphilis, syphilitic(acquired)
      • congenital
        • with
          • taboparesis
    • Syphilis, syphilitic(acquired)
      • congenital
        • juvenile neurosyphilis
    • Syphilis, syphilitic(acquired)
      • congenital
        • late, or 2 years or more after birth NEC
          • juvenile neurosyphilis
    • Syphilis, syphilitic(acquired)
      • dementia paralytica
        • juvenilis
    • Syphilis, syphilitic(acquired)
      • general
        • paralysis
          • juvenile
    • Syphilis, syphilitic(acquired)
      • paralysis
        • general
          • juvenile
    • Syphilis, syphilitic(acquired)
      • paresis (general)
        • juvenile
    • Syphilis, syphilitic(acquired)
      • tabes dorsalis (late)
        • juvenile
    • Syphilis, syphilitic(acquired)
      • tabetic type
        • juvenile
    • Syphilis, syphilitic(acquired)
      • taboparesis
        • juvenile
    • Tabes, tabetic
      • congenital
    • Taboparesis(remission)
      • juvenile

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PNL009
Perinatal infections
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR INF010
Sexually transmitted infections (excluding HIV and hepatitis)
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Dementia

Dementia is a loss of mental functions that is severe enough to affect your daily life and activities. These functions include:

The full article covers:

  • What is dementia?
  • What are the types of dementia?
  • Who is at risk for dementia?
  • What are the symptoms of dementia?
  • How is dementia diagnosed?
  • What are the treatments for dementia?
  • Can dementia be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert A50.45 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
090.40 Juvenile neurosyph NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About A50.45Overview

Is A50.45 (Late congenital neurosyphilis [juvenile neurosyphilis]) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report juvenile general paresis on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of A50.45?

Under the General Equivalence Mappings, juvenile general paresis converts to ICD-9-CM 090.40 (juvenile neurosyph NOS). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.