A65Billable, valid for claims from October 1, 2026

Nonvenereal syphilis

In Other spirochetal diseases (A65-A69), chapter 1: Certain Infectious and Parasitic Diseases

  • A65 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under A65-A69 below.
  • As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
  • Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
  • AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).

Also indexed as: Bejel; Dichuchwa; Njovera; Siti; Skerljevo; Syphilis, endemic; Syphilis, nonvenereal

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Instructional notes

Includes: conditions that are coded here

  • Bejel
  • Endemic syphilis
  • Njovera

Also applies, from Other spirochetal diseases (A65-A69)

These notes sit on A65-A69 and apply to every code under it, including A65.

Excludes2: not included here, code separately if applicable

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Rules for coding infections and parasitic diseases, including HIV, organism and drug resistance codes, sepsis and septic shock, MRSA, Zika, and COVID-19.

Read Section I.C.1 (page 19)

Other codes under A65-A69

Other spirochetal diseases (A65-A69)

A65 MS-DRGs

As the principal diagnosis, A65 groups to MS-DRG 867, 868, or 869 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Related conditions

Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.

A65 is in Parasitic, other specified and unspecified infections (INF009, its default category), with 254 codes. Others in it:

  • A06.0 Acute amebic dysentery
  • A06.1 Chronic intestinal amebiasis
  • A06.2 Amebic nondysenteric colitis
  • A06.3 Ameboma of intestine
  • A06.4 Amebic liver abscess
  • A06.5 Amebic lung abscess
  • A06.6 Amebic brain abscess
  • A06.7 Cutaneous amebiasis

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

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.

Read more about bacterial infections on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 104.0 Nonvenereal endemic syphilis
ICD-9 to ICD-10 converter