ICD-10 Coding for Warts(B07.0, B07.8, B07.9, A63.0)
Complete ICD-10-CM coding and documentation guide for Warts. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Warts
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B07.0 | Plantar wart | Use for warts located on the plantar surface of the foot. |
|
| B07.8 | Other viral warts | Use for non-plantar, non-anogenital warts with specific subtype documentation. |
|
| B07.9 | Viral wart, unspecified | Use when specific wart type cannot be determined. |
|
| A63.0 | Anogenital (venereal) warts | Use for warts located in the anogenital region with confirmed HPV association. |
|
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 plantar warts
Essential facts and insights about Warts
Primary ICD-10-CM Codes for warts
Decision Criteria
clinical Criteria
- Lesion on foot with black dots
Applicable To
- Verruca plantaris
Excludes
- Anogenital warts (A63.0)
Clinical Validation Requirements
- Presence of hyperkeratotic lesions on soles
- Thrombosed capillaries visible
Code-Specific Risks
- Misclassification if not confirmed as plantar wart
Coding Notes
- Ensure documentation specifies plantar location and characteristic features.
B07.8 - Other viral warts
Use for non-plantar, non-anogenital warts with specific subtype documentation.
Applicable To
- Verruca vulgaris
- Flat warts
Excludes
- Anogenital warts (A63.0)
Clinical Validation Requirements
- Histological confirmation of viral etiology
- Dermoscopy showing characteristic patterns
Coding Notes
Document specific wart type to avoid unspecified coding.
B07.9 - Viral wart, unspecified
Use when specific wart type cannot be determined.
Excludes
- Anogenital warts (A63.0)
Clinical Validation Requirements
- General wart appearance without specific subtype
Coding Notes
Avoid use if specific wart type can be documented.
A63.0 - Anogenital (venereal) warts
Use for warts located in the anogenital region with confirmed HPV association.
Applicable To
- Condyloma acuminatum
Excludes
- Viral warts (B07)
Clinical Validation Requirements
- HPV testing confirmation
- Presence of genital lesions
Coding Notes
Ensure HPV confirmation is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Papillomavirus as the cause of diseases classified elsewhere
B97.7Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Warts to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B07.0.
Impact
Clinical: Inaccurate diagnosis records, Regulatory: Potential for audit issues, Financial: Incorrect billing and reimbursement
Mitigation Strategy
Always document specific wart type
Impact
Reimbursement: Incorrect reimbursement due to wrong code, Compliance: Non-compliance with coding guidelines, Data Quality: Poor data quality and inaccurate records
Mitigation Strategy
Use A63.0 for anogenital warts
Impact
Reimbursement: Denial of E/M service reimbursement, Compliance: Non-compliance with billing rules, Data Quality: Inaccurate billing records
Mitigation Strategy
Add modifier -25 to E/M code
Impact
Using B07.9 without specific documentation
Mitigation Strategy
Ensure documentation specifies wart type
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 Warts, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Warts
Use these documentation templates to ensure complete and accurate documentation for Warts. These templates include all required elements for proper coding and billing.
Plantar wart treatment
Specialty: DermatologyRequired Elements
- Location and size of wart
- Treatment method
- Patient response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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