ICD-10 Coding for Hand, Foot, and Mouth Disease(B08.4)
Complete ICD-10-CM coding and documentation guide for Hand, Foot, and Mouth Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hand, Foot, and Mouth Disease
B00-B09Primary Range
Viral infections characterized by skin and mucous membrane lesions
This range includes conditions like HFMD, which is characterized by vesicular lesions on the skin and mucous membranes.
Key Information: ICD-10 code for hand foot mouth disease
Essential facts and insights about Hand, Foot, and Mouth Disease
Primary ICD-10-CM Code for hand foot mouth disease
Decision Criteria
clinical Criteria
- Presence of vesicular rash on palms and soles with oral ulcers.
coding Criteria
- Do not use if only oral ulcers are present without extremity involvement.
Applicable To
- Hand, foot, and mouth disease
Excludes
- Herpetic gingivostomatitis (B00.2)
Clinical Validation Requirements
- Fever
- Vesicular rash on palms and soles
- Oral ulcers
Code-Specific Risks
- Incorrectly coding as herpes if lesions are misdocumented.
Coding Notes
- Ensure documentation specifies both oral and extremity lesions to use B08.4.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fever, unspecified
R50.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Herpetic gingivostomatitis
B00.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hand, Foot, and Mouth Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B08.4.
Impact
Clinical: Misdiagnosis of HFMD., Regulatory: Potential audit issues., Financial: Denied claims due to incorrect coding.
Mitigation Strategy
Use structured templates for documentation., Educate clinicians on HFMD diagnostic criteria.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data and patient records.
Mitigation Strategy
Ensure documentation specifies vesicular rash on palms and soles with oral ulcers.
Impact
Inadequate documentation of lesion locations can lead to coding errors.
Mitigation Strategy
Use detailed templates and educate staff on documentation requirements.
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 Hand, Foot, and Mouth Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hand, Foot, and Mouth Disease
Use these documentation templates to ensure complete and accurate documentation for Hand, Foot, and Mouth Disease. These templates include all required elements for proper coding and billing.
Pediatric presentation of HFMD
Specialty: PediatricsRequired Elements
- Fever onset date
- Description of oral ulcers
- Vesicular rash location and count
- Lab results if available
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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