ICD-10 Coding for Type 2 Herpes Simplex Virus(A60.0, B00.7)
Complete ICD-10-CM coding and documentation guide for Type 2 Herpes Simplex Virus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Type 2 Herpes Simplex Virus
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A60.0 | Anogenital herpesviral infection | Use for confirmed genital herpes infections with positive lab results. |
|
| B00.7 | Disseminated herpesviral disease | Use for systemic herpes infections with evidence of multi-organ involvement. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for genital herpes
Essential facts and insights about Type 2 Herpes Simplex Virus
Primary ICD-10-CM Codes for type 2 herpes simplex virus
Decision Criteria
clinical Criteria
- Presence of genital lesions with positive HSV-2 PCR
Applicable To
- Genital herpes
- Herpesviral vulvovaginitis
Excludes
- Herpesviral infection of the eye (B00.5)
Clinical Validation Requirements
- Positive HSV-2 PCR from lesion swab
- Clinical presentation of vesicular lesions
Code-Specific Risks
- Misclassification if anatomical site is not specified
Coding Notes
- Ensure anatomical site is documented to avoid unspecified coding.
B00.7 - Disseminated herpesviral disease
Use for systemic herpes infections with evidence of multi-organ involvement.
Applicable To
- Herpesviral hepatitis
- Herpesviral pneumonitis
Excludes
- Herpesviral encephalitis (B00.5)
Clinical Validation Requirements
- Evidence of systemic involvement
- Positive HSV-2 PCR from blood
Coding Notes
Document all systemic symptoms and confirm with lab tests.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening for other viral diseases
Z11.59Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Type 2 Herpes Simplex Virus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A60.0.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Always document lab results in patient records., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Impacts accuracy of health data and statistics.
Mitigation Strategy
Use A60.0x codes for genital herpes with specified sites.
Impact
Using unspecified codes for genital herpes cases.
Mitigation Strategy
Train staff on specific code usage and documentation requirements.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Type 2 Herpes Simplex Virus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Type 2 Herpes Simplex Virus
Use these documentation templates to ensure complete and accurate documentation for Type 2 Herpes Simplex Virus. These templates include all required elements for proper coding and billing.
Initial genital herpes outbreak
Specialty: OB/GYNRequired Elements
- Patient history
- Physical examination findings
- Lab test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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