ICD-10 Coding for Fever Blister(B00.1)
Complete ICD-10-CM coding and documentation guide for Fever Blister. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fever Blister
B00.0-B00.9Primary Range
Herpesviral infections
This range includes codes for herpesviral infections, including herpes labialis (fever blisters).
Key Information: ICD-10 code for fever blister
Essential facts and insights about Fever Blister
Primary ICD-10-CM Code for fever blister
Decision Criteria
clinical Criteria
- Presence of vesicular lesions on lips with prodromal symptoms.
documentation Criteria
- Documented history of recurrent episodes or lab confirmation.
Applicable To
- Herpes labialis
- Fever blisters
Clinical Validation Requirements
- Prodromal tingling
- Clustered vesicles on lips
- Recurrent episodes
- HSV-1 confirmed by PCR
Code-Specific Risks
- Confusing with other HSV manifestations
- Using unspecified codes like B00.9
Coding Notes
- Ensure documentation specifies location and symptoms. Avoid unspecified codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Viral agents as the cause of diseases classified elsewhere
B97.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fever Blister to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B00.1.
Impact
Clinical: May lead to incorrect treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific terms like 'herpes labialis'., Include detailed symptom descriptions.
Impact
Reimbursement: Incorrect code may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on herpes infections.
Mitigation Strategy
Use B00.1 for specific site documentation.
Impact
Lack of specific lesion documentation can lead to audit issues.
Mitigation Strategy
Ensure detailed documentation of lesion location and symptoms.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Fever Blister, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fever Blister
Use these documentation templates to ensure complete and accurate documentation for Fever Blister. These templates include all required elements for proper coding and billing.
Primary Care Visit for Fever Blister
Specialty: Family MedicineRequired Elements
- Location of lesions
- Symptoms and prodromal signs
- Recurrent episode history
- Lab confirmation if available
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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