2026 ICD-10-CM Diagnosis Code A51.42Secondary syphilitic female pelvic disease

ICD-10-CM Codes›A00–B99›A50-A64›A51

ICD-10-CM A51.42
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

A51.42 is a billable ICD-10-CM diagnosis code for secondary syphilitic female pelvic disease. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 867 through 869. Coders also document this condition as female syphilitic pelvic inflammatory disease. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Inflammatory diseases of female pelvic organs and Sexually transmitted infections (excluding HIV and hepatitis).

Code Identity

ICD-10-CM Code
A51.42
Billable Status
Yes — Valid for Submission
Code Describes
Secondary syphilitic female pelvic disease
Short Description
Secondary syphilitic female pelvic disease
Same as the full description in the CMS dataset.
Parent Code
A51.4
Other secondary syphilis

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA50-A64Infections with a predominantly sexual mode of transmission
CategoryA51Early syphilis
This CodeA51.42Secondary syphilitic female pelvic disease

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Female syphilitic pelvic inflammatory disease

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.

    • Disease, diseased
      • female pelvic inflammatory
        • syphilitic (secondary)
    • Disease, diseased
      • pelvis, pelvic
        • inflammatory (female)
          • syphilitic (secondary)

Clinical ClassificationClinical

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

CCSR GEN018
Inflammatory diseases of female pelvic organs
Default principal diagnosis: inpatient No · outpatient No
CCSR INF010
Sexually transmitted infections (excluding HIV and hepatitis)
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Secondary Syphilis

    the secondary stage of syphilis typically that is characterized by generalized rash (including palms and soles), mucocutaneous lesions, and lymphadenopathy. it usually begins one to two months after the primary stage.

Patient EducationClinical

Syphilis

Syphilis is a sexually transmitted infection (STI) caused by bacteria. It infects the genital area, lips, mouth, or anus of both men and women. You usually get syphilis from sexual contact with someone who has it. It can also pass from mother to baby during pregnancy.

Read the full article at MedlinePlus

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

Convert A51.42 to ICD-9-CMHistory

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

ICD-9-CM
091.89 Secondary syphilis NEC
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 A51.42Overview

Is A51.42 (Other secondary syphilis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report secondary syphilitic female pelvic disease on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does A51.42 group to?

When secondary syphilitic female pelvic disease is the principal diagnosis on an inpatient stay, it groups to MS-DRG 867, 868, 869, with relative weights from 0.7297 to 2.0932 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of A51.42?

Under the General Equivalence Mappings, secondary syphilitic female pelvic disease converts to ICD-9-CM 091.89 (secondary syphilis NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.