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A52.77 vs H75.0

A52.77 (Syphilis of bone and joint) compared with H75.0 (Mastoiditis in infectious and parasitic diseases classified elsewhere), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. H75.0 carries an Excludes1 note covering A52.77: “syphilis (A52.77)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

A52.77Syphilis of bone and jointH75.0Mastoiditis in infectious and parasitic diseases classified elsewhere
Billing statusBillableNon-billable header

Report instead: H75.00, H75.01, H75.02, H75.03

ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)H60-H95 — Diseases of the Ear and Mastoid Process (H60-H95)
DefinitionSyphilis of bone and joint is a billable ICD-10-CM diagnosis code (A52.77).Mastoiditis in infectious and parasitic diseases classified elsewhere is a non-billable ICD-10-CM category code (H75.0).
Code first
underlying disease

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources