Find comprehensive information on Herpes Simplex Infection diagnosis including clinical documentation, ICD-10 codes (Herpes simplex virus, HSV-1, HSV-2), medical coding guidelines, and healthcare best practices. Learn about diagnosing oral herpes, genital herpes, herpes labialis, herpetic whitlow, and other HSV infections. This resource provides guidance for accurate diagnosis, treatment, and patient care related to Herpes Simplex Virus.
Also known as
Herpesviral infection of the skin and mucous membranes
Infections caused by herpes simplex virus (HSV), excluding herpes zoster.
Anogenital herpesviral infections
Herpes simplex virus infections affecting the genital and anal regions.
Infections with herpes simplex virus [HSV]
Other forms of herpes simplex virus infection, not classified elsewhere.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the Herpes Simplex Infection type 1 (HSV-1)?
Yes
Site of HSV-1 infection?
No
Is it type 2 (HSV-2)?
When to use each related code
| Description |
|---|
| Herpes simplex infection |
| Varicella-zoster infection |
| Herpes zoster (shingles) |
Coding herpes simplex without specifying the site (e.g., oral, genital) leads to inaccurate data and potential claim denials. Use specific ICD-10 codes (e.g., B00.1, B00.2).
Confusing HSV-1 and HSV-2 impacts treatment and surveillance. Accurate documentation and coding (e.g., B00.11, B00.22) are crucial for appropriate care.
Distinguishing between initial and recurrent infections is essential for correct coding and resource allocation. Ensure clear documentation for proper ICD-10 selection (e.g., B00.12, B00.9).
Patient presents with complaints consistent with herpes simplex infection. Onset of symptoms began approximately [number] days ago and includes [list specific symptoms, e.g., tingling, itching, burning, pain]. Physical examination reveals [describe lesion characteristics, e.g., erythematous vesicles, grouped vesicles on an erythematous base, ulcers, location of lesions - oral herpes, genital herpes, herpes labialis, herpetic whitlow, etc.]. Patient reports [mention any prodromal symptoms such as fever, malaise, or lymphadenopathy]. Differential diagnosis includes herpes zoster, impetigo, contact dermatitis, and syphilis. Based on clinical presentation and history, the diagnosis of herpes simplex virus (HSV) infection is made. A viral culture or PCR testing may be considered for confirmation if the diagnosis is uncertain. Treatment plan includes [mention antiviral medications, e.g., acyclovir, valacyclovir, famciclovir, dosage, frequency, and duration]. Patient education provided on contagious nature of herpes simplex, recurrence triggers, prevention strategies such as avoiding skin-to-skin contact during outbreaks, and proper hand hygiene. Follow-up appointment scheduled in [timeframe] to monitor response to treatment and address any further concerns. ICD-10 code: [appropriate ICD-10 code, e.g., B00.1 for Herpes simplex virus infections of the lip, B00.2 for Herpes simplex virus infections of the genitalia]. Medical necessity for prescribed antiviral medication: Treatment for symptomatic relief and to reduce duration of viral shedding.