Find comprehensive information on Herpes Zoster (shingles) diagnosis, including clinical documentation, ICD-10 codes (B02), medical coding guidelines, and healthcare resources. Learn about zoster-related pain management, antiviral treatment, postherpetic neuralgia, and other complications. This resource provides essential information for physicians, healthcare providers, and medical coders seeking accurate and up-to-date guidance on Herpes Zoster.
Also known as
Herpes zoster
Codes for various locations and complications of shingles.
Peripheral nerve disorders
Includes postherpetic neuralgia, a common complication of shingles.
Disorders of the eye and adnexa
Relevant if shingles affects the eye (herpes zoster ophthalmicus).
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the diagnosis Herpes Zoster (Shingles)?
Yes
With meningitis?
No
Do not code as Herpes Zoster. Review diagnosis.
When to use each related code
Description |
---|
Shingles (Herpes Zoster) |
Herpes Simplex |
Contact Dermatitis |
Coding Herpes Zoster without site specificity when documented, leading to inaccurate severity and resource reflection. Impacts DRG and quality reporting.
Missing or delayed diagnosis coding for post-herpetic neuralgia, affecting appropriate treatment and reimbursement for pain management.
Incorrectly coding chickenpox (Varicella) as Herpes Zoster or vice-versa, resulting in inaccurate epidemiological data and resource allocation.
Patient presents with a chief complaint of painful rash. Onset of the rash was reported [Number] days ago, initially characterized as burning, tingling, or itching (paresthesia) in the affected dermatome. The rash is now described as erythematous, maculopapular, and quickly evolving into vesicles clustered in a dermatomal distribution consistent with Herpes Zoster (shingles). Location of the rash is documented as [Location, e.g., left thoracic dermatome T5-T7]. Patient reports pain level as [Pain scale rating, e.g., 7/10] described as [Pain descriptors, e.g., sharp, burning, stabbing]. Associated symptoms may include fever, headache, malaise, and lymphadenopathy. The patient [Positive/Negative] for a prior history of chickenpox (Varicella Zoster Virus). No known immunocompromising conditions were reported. Physical exam confirms the presence of a vesicular rash in a dermatomal pattern without involvement of the eye or other cranial nerves. Diagnosis of Herpes Zoster (shingles) is made based on clinical presentation and history. Treatment plan includes antiviral therapy with [Medication name and dosage, e.g., Valacyclovir 1000mg TID for 7 days] to reduce viral shedding, lessen the duration of symptoms, and decrease the risk of postherpetic neuralgia. Patient education provided on pain management strategies including [Pain management strategies, e.g., over-the-counter analgesics, cool compresses], hygiene to prevent the spread of infection, and potential complications like postherpetic neuralgia. Follow-up appointment scheduled in [Duration, e.g., one week] to monitor symptom resolution and assess for complications. ICD-10-CM code B02. [Specify subtype if applicable, e.g., B02.2 for Herpes Zoster with meningitis] is assigned. Appropriate Zoster vaccine information and counseling provided per CDC guidelines.