Find comprehensive information on Herpes Zoster diagnosis, including clinical documentation, ICD-10-CM codes (B02), medical coding guidelines, and healthcare best practices for managing shingles. Learn about Zoster sine herpete, postherpetic neuralgia, and other related conditions. This resource provides valuable insights for physicians, clinicians, and healthcare professionals involved in the diagnosis and treatment of Herpes Zoster infections. Explore detailed information on symptoms, diagnostic criteria, and treatment options for optimal patient care.
Also known as
Herpes zoster
Infection caused by reactivation of the varicella-zoster virus.
Nerve root and plexus disorders
Includes pain and other disorders affecting nerve roots and plexuses, sometimes a complication of herpes zoster.
Diseases of the eye and adnexa
Relevant if herpes zoster affects the eye (herpes zoster ophthalmicus).
Disturbances of skin sensation
Includes altered sensation like pain and itching, which can be a consequence of herpes zoster.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the Herpes Zoster confirmed?
Yes
With meningitis?
No
Do not code Herpes Zoster. Code the presenting symptoms.
When to use each related code
Description |
---|
Shingles: painful rash with blisters |
Herpes simplex: cold sores or genital sores |
Varicella: chickenpox, widespread itchy rash |
Coding lacks anatomical site, impacting severity and payment. CDI should query for site specificity. Risk of claim denials and inaccurate reporting.
PHN coding often missed, leading to underreporting of chronic pain and lost revenue. CDI should review for PHN documentation to ensure accurate coding.
Miscoding between primary varicella and herpes zoster can skew epidemiological data and reimbursements. CDI must ensure clear documentation supports diagnosis.
Patient presents with a chief complaint of painful rash. Onset of symptoms began approximately [number] days ago with a prodrome of burning, tingling, or itching sensation localized to the [affected dermatome, e.g., thoracic, ophthalmic, cervical]. The rash is currently characterized by erythematous, maculopapular lesions that have evolved into vesicles clustered in a dermatomal distribution consistent with Herpes Zoster (shingles). The patient reports [pain level, e.g., mild, moderate, severe] pain described as [pain characteristics, e.g., burning, stabbing, electric]. Pain assessment using a numerical rating scale (NRS) is documented as [NRS score]. Lesions are present on the [specific location, e.g., left flank, right forehead]. No lymphadenopathy is noted. The patient denies fever, chills, or malaise. Medical history includes [relevant medical history, e.g., hypertension, diabetes, immunocompromise]. Current medications include [list current medications]. Allergies include [list allergies]. Physical examination reveals [detailed findings related to the rash, including size, distribution, and characteristics of lesions]. Diagnosis of Herpes Zoster is made based on clinical presentation and characteristic dermatomal distribution of the rash. Differential diagnosis includes contact dermatitis, impetigo, and varicella. Treatment plan includes antiviral therapy with [medication name and dosage, e.g., acyclovir 800mg five times daily for 7 days] to reduce viral shedding, duration of symptoms, and risk of postherpetic neuralgia. Pain management is addressed with [pain management plan, e.g., over-the-counter analgesics, prescription pain medication]. Patient education provided regarding contagious nature of the virus, proper hygiene, and potential complications such as postherpetic neuralgia. Follow-up appointment scheduled in [timeframe] to assess treatment response and monitor for complications. ICD-10 code B02.