ICD-10 Coding for Roseola(B08.21, B08.22, B08.20)
Complete ICD-10-CM coding and documentation guide for Roseola. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Roseola
B08.2Primary Range
Exanthema subitum [sixth disease]
This range includes codes specific to roseola caused by human herpesvirus types 6 and 7.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B08.21 | Exanthema subitum due to human herpesvirus 6 | Use when lab-confirmed HHV-6 infection with classic roseola presentation is documented. |
|
| B08.22 | Exanthema subitum due to human herpesvirus 7 | Use when rash persists >48hrs with atypical features and HHV-7 is confirmed. |
|
| B08.20 | Exanthema subitum, unspecified | Use for typical presentation without specific viral testing. |
|
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 roseola
Essential facts and insights about Roseola
Primary ICD-10-CM Codes for roseola
Decision Criteria
clinical Criteria
- PCR positive for HHV-6
documentation Criteria
- Fever >39°C resolving with rash onset
Applicable To
- Roseola infantum due to HHV-6
Excludes
- Exanthema due to other viruses
Clinical Validation Requirements
- PCR positive for HHV-6
- Fever >39°C resolving with rash onset
Code-Specific Risks
- Do not use without virologic confirmation
Coding Notes
- Ensure documentation specifies HHV-6 confirmation via PCR.
B08.22 - Exanthema subitum due to human herpesvirus 7
Use when rash persists >48hrs with atypical features and HHV-7 is confirmed.
Applicable To
- Roseola infantum due to HHV-7
Excludes
- Exanthema due to other viruses
Clinical Validation Requirements
- HHV-7 detected via serum PCR
- Prolonged macular eruption
Coding Notes
Ensure documentation specifies HHV-7 confirmation via PCR.
B08.20 - Exanthema subitum, unspecified
Use for typical presentation without specific viral testing.
Applicable To
- Roseola infantum, unspecified
Excludes
- Exanthema due to other viruses
Clinical Validation Requirements
- Typical presentation without testing
- Roseola infantum with fever and truncal rash
Coding Notes
Use as default when etiology is unspecified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Roseola to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B08.21.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with coding guidelines., Financial: Potential denial of claims.
Mitigation Strategy
Ensure lab results are included in the medical record., Educate providers on documentation standards.
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Potential audit trigger for lack of specificity., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Query provider to confirm roseola infantum versus nonspecific viral rash.
Impact
Using unspecified codes without lab confirmation.
Mitigation Strategy
Require lab confirmation for specific viral codes.
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 Roseola, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Roseola
Use these documentation templates to ensure complete and accurate documentation for Roseola. These templates include all required elements for proper coding and billing.
Pediatric patient with roseola
Specialty: PediatricsRequired Elements
- Fever duration and pattern
- Rash description and timing
- Lab results for HHV-6 or HHV-7
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Roseola? Ask your questions below.