2026 ICD-10-CM Diagnosis Code A65Nonvenereal syphilis

ICD-10-CM Codes›A00–B99›A65-A69›A65

ICD-10-CM A65
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

A65 is a billable ICD-10-CM diagnosis code for nonvenereal syphilis. 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 bejel. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Parasitic, other specified and unspecified infections.

Code Identity

ICD-10-CM Code
A65
Billable Status
Yes — Valid for Submission
Code Describes
Nonvenereal syphilis
Chapter
A65-A69
Other spirochetal diseases

Code Classification

ChapterA00–B99Certain infectious and parasitic diseases
SectionA65-A69Other spirochetal diseases
CategoryA65Nonvenereal syphilis
This CodeA65Nonvenereal syphilis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bejel
  • Dichuchwa
  • Njovera
  • Non-venereal endemic syphilis
  • Radesyge
  • Sibbens
  • Siti
  • Skerjevo

Tabular List NotesGuidance

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

Inclusion Terms

  • Bejel
  • Endemic syphilis
  • Njovera

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.

    • Bejel
    • Dichuchwa
    • Njovera
    • Siti
    • Skerljevo
    • Syphilis, syphilitic(acquired)
      • endemic
    • Syphilis, syphilitic(acquired)
      • nonvenereal

Clinical ClassificationClinical

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

CCSR INF009
Parasitic, other specified and unspecified infections
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Bacterial Infections

Bacteria are tiny organisms (living things) that have only one cell. Under a microscope, they look like balls, rods, or spirals. They can be found almost everywhere on Earth. There are lots of bacteria in and on your body. In fact, your body has about 10 times more bacteria cells than human cells.

The full article covers:

  • What are bacteria?
  • How do bacterial infections spread?
  • What are the treatments for bacterial infections?
  • Can bacterial infections be prevented?

Read the full article at MedlinePlus

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

Convert A65 to ICD-9-CMHistory

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

ICD-9-CM
104.0 Nonvenereal endemic syph
Exact Match The mapping is direct, with no qualifiers.

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 A65Overview

Is A65 (Nonvenereal syphilis) a billable code?

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

What MS-DRG does A65 group to?

When nonvenereal syphilis 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 A65?

Under the General Equivalence Mappings, nonvenereal syphilis converts to ICD-9-CM 104.0 (nonvenereal endemic syph). The mapping is a direct match.

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.