A50.45 Juvenile general paresis

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Dementia paralytica juvenilis
• Juvenile taboparetic neurosyphilis

Applies from A50.4 Late congenital neurosyphilis [juvenile neurosyphilis]

Excludes1 (never code together)

• Hutchinson's triad (A50.53)

Use additional code

• code to identify any associated mental disorder

MS-DRG index

Defines the logic of DRG(s) 097-099 in MDC 01.

Approximate ICD-9-CM (GEMs)

• 090.40 Juvenile neurosyphilis, unspecified (approximate)

Code annotations containing back-references to A50.45

Back-references to A50.4

• Code First: G91.4 Hydrocephalus in diseases classified elsewhere ("congenital syphilis (A50.4-)")

Back-references to A50

• Code First: J99 Respiratory disorders in diseases classified elsewhere ("congenital syphilis (A50.-)")
• Type 2 Excludes: N34 Urethritis and urethral syndrome ("urethritis in diseases with a predominantly sexual mode of transmission (A50-A64)")
• Type 2 Excludes: P37 Other congenital infectious and parasitic diseases ("congenital syphilis (A50.-)")

Diagnosis Index entries for A50.45

• Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety) › paralytica, paralytic (syphilitic) › juvenilis
• Dennie-Marfan syphilitic syndrome
• Neurosyphilis (arrested) (early) (gumma) (late) (latent) (recurrent) (relapse) › paresis, paretic › juvenile
• Neurosyphilis (arrested) (early) (gumma) (late) (latent) (recurrent) (relapse) › tabes, tabetic (dorsalis) › juvenile
• Neurosyphilis (arrested) (early) (gumma) (late) (latent) (recurrent) (relapse) › taboparesis (taboparetic) › juvenile
• Paralysis, paralytic (complete) (incomplete) › general (progressive) (syphilitic) › juvenile
• Paralysis, paralytic (complete) (incomplete) › juvenile general
• Paresis › general (progressive) (syphilitic) › juvenile
• Paresis › juvenile (general)
• Paresis › syphilitic (general) › congenital
• Syphilis, syphilitic (acquired) › central nervous system (late) (recurrent) (relapse) (tertiary) › with › general paralysis › juvenile
• Syphilis, syphilitic (acquired) › central nervous system (late) (recurrent) (relapse) (tertiary) › with › paresis (general) › juvenile
• Syphilis, syphilitic (acquired) › central nervous system (late) (recurrent) (relapse) (tertiary) › with › tabes (dorsalis) › juvenile
• Syphilis, syphilitic (acquired) › central nervous system (late) (recurrent) (relapse) (tertiary) › with › taboparesis › juvenile
• Syphilis, syphilitic (acquired) › congenital › with › paresis (general)
• Syphilis, syphilitic (acquired) › congenital › with › tabes (dorsalis)
• Syphilis, syphilitic (acquired) › congenital › with › taboparesis
• Syphilis, syphilitic (acquired) › congenital › juvenile neurosyphilis
• Syphilis, syphilitic (acquired) › congenital › late, or 2 years or more after birth NEC › juvenile neurosyphilis
• Syphilis, syphilitic (acquired) › dementia paralytica › juvenilis
• Syphilis, syphilitic (acquired) › general › paralysis › juvenile
• Syphilis, syphilitic (acquired) › paralysis › general › juvenile
• Syphilis, syphilitic (acquired) › paresis (general) › juvenile
• Syphilis, syphilitic (acquired) › tabes dorsalis (late) › juvenile
• Syphilis, syphilitic (acquired) › tabetic type › juvenile
• Syphilis, syphilitic (acquired) › taboparesis › juvenile
• Tabes, tabetic › congenital
• Taboparesis (remission) › juvenile

Nearby codes

• A50.40 Late congenital neurosyphilis, unspecified
• A50.41 Late congenital syphilitic meningitis
• A50.42 Late congenital syphilitic encephalitis
• A50.43 Late congenital syphilitic polyneuropathy
• A50.44 Late congenital syphilitic optic nerve atrophy
• A50.45 Juvenile general paresis (this code)
• A50.49 Other late congenital neurosyphilis
• A50.5 Other late congenital syphilis, symptomatic
• A50.51 Clutton's joints
• A50.52 Hutchinson's teeth
• A50.53 Hutchinson's triad