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B00.9
ICD-10-CM
Herpes Simplex Virus

Find comprehensive information on Herpes Simplex Virus (HSV) diagnosis, including clinical documentation, medical coding, ICD-10 codes for HSV-1 and HSV-2, and healthcare guidelines. Learn about herpes simplex virus testing, treatment, and management. This resource provides essential information for healthcare professionals, clinicians, and medical coders seeking accurate and up-to-date information on HSV diagnosis and coding.

Also known as

HSV
Cold Sores
Genital Herpes

Diagnosis Snapshot

Key Facts
  • Definition : Viral infection causing recurrent sores or blisters on skin, genitals, or mouth.
  • Clinical Signs : Painful blisters, ulcers, tingling, itching, fever, swollen lymph nodes.
  • Common Settings : Outpatient clinics, sexual health clinics, telehealth consultations.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC B00.9 Coding
B00.0-B00.9

Herpesviral infections of eyelids

Infections of the eyelid caused by the herpes simplex virus.

B00.1

Herpesviral keratitis and keratoconjunctivitis

Inflammation of the cornea and conjunctiva due to herpes simplex virus.

A60.0-A60.9

Anogenital herpesviral infection

Herpes simplex virus infections affecting the genital and anal regions.

B00.2-B00.8

Other herpesviral eye infections

Herpes simplex virus infections affecting other parts of the eye.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the Herpes Simplex Virus type specified?

  • Yes

    Is it HSV-1?

  • No

    Code B00.9 for unspecified Herpes Simplex Virus

Code Comparison

Related Codes Comparison

When to use each related code

Description
Herpes simplex virus (HSV) infection
Herpes zoster (shingles)
Varicella (chickenpox)

Documentation Best Practices

Documentation Checklist
  • HSV diagnosis: Document viral culture/PCR results.
  • Specify HSV type (HSV-1 or HSV-2).
  • Document anatomical site of infection.
  • Include symptoms onset, duration, characteristics.
  • Note recurrent or primary infection for ICD coding.

Coding and Audit Risks

Common Risks
  • Unspecified Site HSV

    Coding HSV without specifying site (skin, eye, CNS) leads to inaccurate data and rejected claims. Use specific ICD-10 codes like B00.1, B00.2, etc.

  • Confusing HSV-1/HSV-2

    Miscoding HSV-1 (oral) as HSV-2 (genital) or vice-versa affects prevalence data and treatment plans. Accurate diagnosis documentation is crucial.

  • Neonatal HSV Coding

    Neonatal HSV requires specific codes (P35.1) and thorough documentation to capture severity and trigger appropriate care and resource allocation.

Mitigation Tips

Best Practices
  • Accurate ICD-10-CM coding: HSV-1 (B00.1) vs. HSV-2 (A60).
  • Document lesion site, type, recurrence for CDI, risk adjustment.
  • Type-specific serologic testing improves HSV diagnosis accuracy.
  • Follow CDC guidelines for HSV testing, treatment, prevention.
  • Ensure HIPAA compliance when documenting, disclosing HSV status.

Clinical Decision Support

Checklist
  • 1. Vesicular lesions present? ICD-10: B00.1, Document lesion location.
  • 2. Prodromal symptoms (tingling, burning)? SNOMED CT: 247463000, Note onset.
  • 3. Positive HSV PCR or culture? LOINC: 14579-5, Verify lab result.
  • 4. Consider differentials (VZV, impetigo). Document reasoning.

Reimbursement and Quality Metrics

Impact Summary
  • Herpes Simplex Virus Reimbursement: ICD-10 B00.0-B00.9, maximize claim accuracy for optimal reimbursement.
  • Coding Accuracy Impact: Precise HSV coding (type, site) crucial for proper payment and epidemiological data.
  • Quality Metrics Impact: HSV diagnosis impacts public health reporting, influencing resource allocation.
  • Hospital Reporting Impact: Accurate HSV coding improves hospital data analysis and infection control.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code HSV type (1/2)
  • Site-specific ICD-10
  • Document recurrence
  • Confirm lab test
  • Check clinical findings

Documentation Templates

Patient presents with complaints consistent with herpes simplex virus (HSV) infection.  Onset of symptoms began [Number] daysweeks prior to presentation.  Patient reports [List specific symptoms e.g., burning, tingling, itching, pain] in the [Affected area e.g., genital, oral, perioral] region.  Physical examination reveals [Objective findings e.g., erythematous vesicles, clustered lesions, ulcers, crusting] consistent with HSV.  Differential diagnoses considered include herpes zoster, impetigo, contact dermatitis, and syphilis.  Based on clinical presentation and history, the diagnosis of [Specify HSV-1 or HSV-2] infection is made.  Treatment plan includes [Medication e.g., acyclovir, valacyclovir, famciclovir] [Dosage and frequency] for [Duration].  Patient education provided on viral shedding, recurrence triggers, transmission prevention, and proper hand hygiene.  Follow-up appointment scheduled in [Timeframe] to assess treatment response and discuss potential complications such as herpetic whitlow, herpes keratitis, or disseminated HSV.  ICD-10 code [Specify appropriate code e.g., B00.1, B00.2, A60.0] assigned.  Patient advised to return for evaluation if symptoms worsen or new symptoms develop.