2026 ICD-10-CM Diagnosis Code A52.09Other cardiovascular syphilis

ICD-10-CM CodesA00–B99A50-A64A52

ICD-10-CM A52.09
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

A52.09 is a billable ICD-10-CM diagnosis code for other cardiovascular syphilis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 314 through 316. Coders also document this condition as acute myocarditis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified circulatory disease and Sexually transmitted infections (excluding HIV and hepatitis).

Code Identity

ICD-10-CM Code
A52.09
Billable Status
Yes — Valid for Submission
Code Describes
Other cardiovascular syphilis
Short Description
Other cardiovascular syphilis
Same as the full description in the CMS dataset.
Parent Code
Cardiovascular and cerebrovascular syphilis

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA50-A64Infections with a predominantly sexual mode of transmission
CategoryA52Late syphilis
This CodeA52.09Other cardiovascular syphilis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acute myocarditis
  • Acute syphilitic myocarditis
  • Myocarditis caused by Spirochaetales
  • Syphilitic myocarditis

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

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

    • Aneurysm(anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular)
      • carotid artery (common) (external)
        • syphilitic
    • Aneurysm(anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular)
      • innominate (nonsyphilitic)
        • syphilitic
    • Aneurysm(anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular)
      • mediastinal (nonsyphilitic)
        • syphilitic
    • Aneurysm(anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular)
      • pulmonary
        • syphilitic
    • Aneurysm(anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular)
      • spinal (cord)
        • syphilitic (hemorrhage)
    • Aneurysm(anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular)
      • subclavian (artery) (ruptured)
        • syphilitic
    • Aneurysm(anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular)
      • syphilitic (aorta)
        • spine, spinal
    • Arteritis
      • syphilitic (general)
    • Arteritis
      • syphilitic (general)
        • spinal
    • Claudication(intermittent)
      • spinal cord (arteriosclerotic)
        • syphilitic
    • Endarteritis(bacterial, subacute) (infective)
      • syphilitic
    • Erosion
      • spine, aneurysmal
    • Gumma(syphilitic)
      • artery
    • Phlebitis(infective) (pyemic) (septic) (suppurative)
      • syphilitic
    • Syphilis, syphilitic(acquired)
      • hepatic artery
    • Syphilis, syphilitic(acquired)
      • mesarteritis
    • Syphilis, syphilitic(acquired)
      • occlusive arterial disease
    • Syphilis, syphilitic(acquired)
      • portal vein
    • Syphilis, syphilitic(acquired)
      • pulmonary (late)
        • artery
    • Thrombosis, thrombotic(bland) (multiple) (progressive) (silent) (vessel)
      • portal
        • due to syphilis
    • Thrombosis, thrombotic(bland) (multiple) (progressive) (silent) (vessel)
      • spinal cord (arterial)
        • due to syphilis

Clinical ClassificationClinical

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

CCSR CIR032
Other specified and unspecified circulatory disease
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

  • Acute Myocarditis

    the sudden onset of inflammation of heart muscle with myocellular necrosis; this is generally secondary to an infectious cause, and patients often have a recent history of a flu-like illness.

Patient EducationClinical

Heart Diseases

Heart disease is a general term that includes many types of heart problems. It's a type of cardiovascular disease, which means heart and blood vessel disease.

The full article covers:

  • What is heart disease?
  • What are the types of heart disease?
  • What causes heart diseases?
  • Who is more likely to develop heart diseases?
  • What are the symptoms of heart disease?
  • How are heart diseases diagnosed?
  • What are the treatments for heart disease?
  • Can heart diseases be prevented?

Read the full article at MedlinePlus

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

Convert A52.09 to ICD-9-CMHistory

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

ICD-9-CM
093.89 Cardiovascular syph 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 A52.09Overview

Is A52.09 (Cardiovascular and cerebrovascular syphilis) a billable code?

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

What MS-DRG does A52.09 group to?

When other cardiovascular syphilis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 314, 315, 316, with relative weights from 0.6821 to 2.0852 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of A52.09?

Under the General Equivalence Mappings, other cardiovascular syphilis converts to ICD-9-CM 093.89 (cardiovascular syph NEC). 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.