Herpes Simplex ICD-10-CM Codes

What ICD-10 Codes are Used for Herpes Simplex

Herpes Simplex, a common viral infection characterized by painful blisters or sores, is classified by specific ICD-10-CM codes. Here are ten commonly used codes for Herpes Simplex, along with brief clinical descriptions:

B00.0 - Herpesviral vesicular dermatitis: Used for herpes simplex infection causing vesicular dermatitis (skin inflammation with blister formation).

B00.1 - Herpesviral vesicular stomatitis: Applied when herpes simplex infection affects the mouth, causing vesicular stomatitis.

B00.2 - Herpesviral gingivostomatitis and pharyngotonsillitis: Utilized for herpes simplex infection affecting the gums, mouth, and throat, causing inflammation and sores.

B00.3 - Herpesviral meningitis: Used when herpes simplex infection causes meninges (membranes surrounding the brain and spinal cord) inflammation.

B00.4 - Herpesviral encephalitis: Applied for herpes simplex infection causing brain inflammation.

B00.5 - Herpesviral ocular disease: Utilized when herpes simplex infection affects the eyes, causing various ocular conditions.

B00.8 - Other forms of herpesviral infection: Used for other specific herpes simplex infections not classified elsewhere.

B00.9 - Herpesviral infection, unspecified: Applied when the specific type of herpes simplex infection is not specified.

A60 - Anogenital herpesviral [herpes simplex] infection: Utilized for herpes simplex infection affecting the anogenital region, including genital herpes.

A69.1 - Herpesviral infection of perinatal period: Used when a herpes simplex infection occurs in the perinatal period (during pregnancy, childbirth, or the immediate postnatal period).

Which Herpes Simplex ICD Codes are Billable

The billable status of the mentioned ICD-10 codes for Herpes Simplex varies:

B00.0 - Herpesviral vesicular dermatitis: Yes, billable. Medical expenses related to herpes simplex infection causing vesicular dermatitis can be claimed.

B00.1 - Herpesviral vesicular stomatitis: Yes, billable. Costs associated with herpes simplex infection affecting the mouth and causing vesicular stomatitis can be reimbursed.

B00.2 - Herpesviral gingivostomatitis and pharyngotonsillitis: Yes, billable. Medical expenses related to herpes simplex infection affecting the gums, mouth, and throat can be claimed.

B00.3 - Herpesviral meningitis: Yes, billable. Expenses associated with herpes simplex infection causing meningitis can be reimbursed.

B00.4 - Herpesviral encephalitis: Yes, billable. Costs related to herpes simplex infection causing encephalitis can be reimbursed.

B00.5 - Herpesviral ocular disease: Yes, billable. Medical expenses related to herpes simplex infection affecting the eyes can be claimed.

B00.8 - Other forms of herpesviral infection: Yes, billable. Costs associated with other specified herpes simplex infections not classified elsewhere can be reimbursed.

B00.9 - Herpesviral infection, unspecified: Yes, billable. Medical expenses for cases where the specific type of herpes simplex infection is not specified can be claimed.

A60 - Anogenital herpesviral [herpes simplex] infection: Yes, billable. Expenses for herpes simplex infection affecting the anogenital region, including genital herpes, can be reimbursed.

A69.1 - Herpesviral infection of perinatal period: Yes, billable. Costs associated with herpes simplex infection during the perinatal period can be claimed.

Clinical Information

• Herpes Simplex is a viral infection caused by the herpes simplex virus (HSV).
• There are two types: HSV-1 (typically causes oral herpes) and HSV-2 (usually causes genital herpes).
• Symptoms include painful sores or blisters on the mouth, lips, face, or genital area.
• Herpes can be transmitted through direct contact with active sores or asymptomatic shedding.
• Diagnosis is often based on clinical presentation and confirmed through laboratory tests like PCR or viral culture.
• Antiviral medications, such as acyclovir or valacyclovir, can help manage symptoms and reduce outbreaks' frequency and duration.
• Education on safe sexual practices, condom use, and disclosing the infection to sexual partners is essential.
• Herpes is a lifelong infection; while treatment can alleviate symptoms, there is no cure.
• Regular medical follow-up and management are important, especially for individuals with recurrent outbreaks.
• Vaccines to prevent herpes are being researched but are not widely available as of my last knowledge update in September 2021.
• Healthcare practitioners should provide counseling and support to individuals with herpes to address physical and emotional aspects of the condition.

Synonyms Include

• Cold Sores
• Fever Blisters
• Genital Herpes
• Oral Herpes
• Herpes Labialis