A52.19: Other symptomatic neurosyphilis
A52.19, other symptomatic neurosyphilis, is listed as a covered diagnosis in 8 Medicare billing and coding articles that apply to 19 HCPCS Level II codes, including G0127 (Trimming of dystrophic nails, any number), C8900 (Magnetic resonance angiography with contrast, abdomen), C8901 (Magnetic resonance angiography without contrast, abdomen). The articles come from 6 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with A52.19 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0127 | Trimming of dystrophic nails, any number | Special coverage instructions apply | — | 6 |
| C8900 | Magnetic resonance angiography with contrast, abdomen | Special coverage instructions apply | — | 2 |
| C8901 | Magnetic resonance angiography without contrast, abdomen | Special coverage instructions apply | — | 2 |
| C8902 | Magnetic resonance angiography without contrast followed by with contrast, abdomen | Special coverage instructions apply | — | 2 |
| C8909 | Magnetic resonance angiography with contrast, chest (excluding myocardium) | Special coverage instructions apply | — | 2 |
| C8910 | Magnetic resonance angiography without contrast, chest (excluding myocardium) | Special coverage instructions apply | — | 2 |
| C8911 | Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) | Special coverage instructions apply | — | 2 |
| C8912 | Magnetic resonance angiography with contrast, lower extremity | Special coverage instructions apply | — | 2 |
| C8913 | Magnetic resonance angiography without contrast, lower extremity | Special coverage instructions apply | — | 2 |
| C8914 | Magnetic resonance angiography without contrast followed by with contrast, lower extremity | Special coverage instructions apply | — | 2 |
| C8918 | Magnetic resonance angiography with contrast, pelvis | Special coverage instructions apply | — | 2 |
| C8919 | Magnetic resonance angiography without contrast, pelvis | Special coverage instructions apply | — | 2 |
| C8920 | Magnetic resonance angiography without contrast followed by with contrast, pelvis | Special coverage instructions apply | — | 2 |
| C8931 | Magnetic resonance angiography with contrast, spinal canal and contents | Special coverage instructions apply | — | 1 |
| C8932 | Magnetic resonance angiography without contrast, spinal canal and contents | Special coverage instructions apply | — | 1 |
| C8933 | Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents | Special coverage instructions apply | — | 1 |
| C8934 | Magnetic resonance angiography with contrast, upper extremity | Special coverage instructions apply | — | 1 |
| C8935 | Magnetic resonance angiography without contrast, upper extremity | Special coverage instructions apply | — | 1 |
| C8936 | Magnetic resonance angiography without contrast followed by with contrast, upper extremity | Special coverage instructions apply | — | 1 |
Medicare policy articles listing A52.19
- A57759: Billing and Coding: Routine Foot Care and Debridement of Nails (Wellpoint Federal (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33636, L34246
- A57954: Billing and Coding: Routine Foot Care (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33941, L35138, L37643
- A57193: Billing and Coding: Routine Foot Care and Debridement of Nails (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33636, L34246
- A52996: Billing and Coding: Routine Foot Care (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33941, L35138, L37643
- A56232: Billing and Coding: Foot Care (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 1 Level II codes)
- A56805: Billing and Coding: Magnetic Resonance Angiography (MRA) (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B); 12 Level II codes). LCD with the same title: L33633, L34372, L34865
- A56680: Billing and Coding: Routine Foot Care (Palmetto GBA (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33941, L35138, L37643
- A56747: Billing and Coding: Magnetic Resonance Angiography (MRA) (Wellpoint Federal (MAC - Part A, MAC - Part B); 18 Level II codes). LCD with the same title: L33633, L34372, L34865
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other A52 diagnoses (Late syphilis)
- A52.10 — Symptomatic neurosyphilis, unspecified
- A52.11 — Tabes dorsalis
- A52.13 — Late syphilitic meningitis
- A52.14 — Late syphilitic encephalitis
- A52.15 — Late syphilitic neuropathy
- A52.16 — Charcot's arthropathy (tabetic)
- A52.17 — General paresis
- A52.01 — Syphilitic aneurysm of aorta
- A52.02 — Syphilitic aortitis
- A52.03 — Syphilitic endocarditis
- A52.06 — Other syphilitic heart involvement
- A52.2 — Asymptomatic neurosyphilis
- A52.3 — Neurosyphilis, unspecified
- A52.76 — Other genitourinary symptomatic late syphilis
Frequently asked questions
Does Medicare cover A52.19 (Other symptomatic neurosyphilis)?
Medicare covers items and services, not diagnoses. 8 Medicare billing and coding articles list A52.19 as a covered diagnosis for 19 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 A52.19?
The Level II codes from the policies most specific to this diagnosis are G0127 (Trimming of dystrophic nails, any number, 6 articles); C8900 (Magnetic resonance angiography with contrast, abdomen, 2 articles); C8901 (Magnetic resonance angiography without contrast, abdomen, 2 articles); C8902 (Magnetic resonance angiography without contrast followed…, 2 articles); C8909 (Magnetic resonance angiography with contrast, chest…, 2 articles). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list A52.19?
A57759 (Billing and Coding: Routine Foot Care and Debridement of Nails); A57954 (Billing and Coding: Routine Foot Care); A57193 (Billing and Coding: Routine Foot Care and Debridement of Nails), and 5 more articles.
What is ICD-10-CM code A52.19?
A52.19 is the ICD-10-CM code for other symptomatic neurosyphilis, in category A52 (Late syphilis), chapter 1: Certain infectious and parasitic diseases.
Next steps
- Run a reimbursement report for a device billed under G0127
- Watch G0127 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0127
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 1: Certain infectious and parasitic diseases · All diagnoses · HCPCS lookup