ICD-10 Coding for Herpes Simplex Virus Type 2(A60.01, A60.04)
Complete ICD-10-CM coding and documentation guide for Herpes Simplex Virus Type 2. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Herpes Simplex Virus Type 2
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A60.01 | Herpesviral infection of penis | Use when HSV-2 infection is confirmed on the penis. |
|
| A60.04 | Herpesviral vulvovaginitis | Use when HSV-2 infection is confirmed in the vulva or vagina. |
|
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 genital herpes
Essential facts and insights about Herpes Simplex Virus Type 2
Primary ICD-10-CM Codes for herpes 2
Decision Criteria
clinical Criteria
- Presence of vesicular lesions on the penis with positive HSV-2 PCR.
Applicable To
- HSV-2 infection of the penis
Excludes
- Congenital herpesviral infection (P35.2)
Clinical Validation Requirements
- PCR-confirmed HSV-2 from penile lesion
Code-Specific Risks
- Misclassification if site is not specified
Coding Notes
- Ensure anatomical site is documented.
A60.04 - Herpesviral vulvovaginitis
Use when HSV-2 infection is confirmed in the vulva or vagina.
Applicable To
- HSV-2 infection of vulva and vagina
Excludes
- Congenital herpesviral infection (P35.2)
Clinical Validation Requirements
- PCR or culture-confirmed HSV-2 from vulvar or vaginal lesion
Coding Notes
Document specific site and confirmatory test results.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
Z20.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Herpes Simplex Virus Type 2 to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A60.01.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always document HSV type when known, Use specific codes for genital vs. non-genital
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use A60 codes for genital herpes infections.
Impact
Using B00 codes for genital herpes cases.
Mitigation Strategy
Educate staff on correct code usage for genital herpes.
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 Herpes Simplex Virus Type 2, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Herpes Simplex Virus Type 2
Use these documentation templates to ensure complete and accurate documentation for Herpes Simplex Virus Type 2. These templates include all required elements for proper coding and billing.
Genital herpes diagnosis
Specialty: GynecologyRequired Elements
- Location of lesions
- Type of test performed
- Test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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