ICD-10 Coding for Hand-Foot-and-Mouth Disease(B08.4, B34.1)
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-B99Primary Range
Certain infectious and parasitic diseases
This range includes viral infections, with B08.4 specifically for HFMD.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B08.4 | Enteroviral vesicular stomatitis with exanthem | Use when both oral lesions and extremity rash are documented, with or without lab confirmation of enterovirus. |
|
| B34.1 | Viral infection, unspecified | Use when enterovirus is suspected but specific HFMD symptoms are not documented. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hand foot mouth disease
Essential facts and insights about Hand-Foot-and-Mouth Disease
Primary ICD-10-CM Codes for hand foot mouth
Decision Criteria
clinical Criteria
- Documented oral vesicles and rash on hands/feet
coding Criteria
- Use B08.4 for confirmed HFMD presentation
Applicable To
- Hand-foot-and-mouth disease
Excludes
- Herpangina (B08.5)
Clinical Validation Requirements
- Presence of oral vesicles and rash on hands and feet
- Laboratory confirmation of enterovirus, such as Coxsackievirus A16
Code-Specific Risks
- Misclassification if only generalized symptoms are documented without specific lesions.
Coding Notes
- Ensure documentation specifies both oral and extremity lesions to support B08.4.
B34.1 - Viral infection, unspecified
Use when enterovirus is suspected but specific HFMD symptoms are not documented.
Clinical Validation Requirements
- General symptoms without specific HFMD lesions
Coding Notes
Query provider if documentation lacks specificity for HFMD.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & 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: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for decreased reimbursement.
Mitigation Strategy
Ensure detailed symptom documentation, Query provider for specifics if needed
Impact
Reimbursement: May result in lower reimbursement if specific HFMD symptoms are not documented., Compliance: Risk of non-compliance with coding guidelines., Data Quality: Decreased accuracy in clinical data reporting.
Mitigation Strategy
Ensure documentation specifies oral and extremity lesions for B08.4.
Impact
Audits may focus on whether documentation supports the use of B08.4.
Mitigation Strategy
Ensure detailed documentation of symptoms and lesions.
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 HFMD Case
Specialty: PediatricsRequired Elements
- Symptom onset and progression
- Physical exam findings
- Lab results
- Diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hand-Foot-and-Mouth Disease? Ask your questions below.