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Home/Diagnosis/ICD-10 Coding for Herpes Gingivostomatitis

ICD-10 Coding for Herpes Gingivostomatitis

B00.2
B00.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for herpes gingivostomatitis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Primary Herpetic Gingivostomatitis
Oral Herpes
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Key Information: ICD-10 Coding for Herpes Gingivostomatitis

Essential facts and insights about ICD-10 Coding for Herpes Gingivostomatitis

Use ICD-10 code B00.2 for herpesviral gingivostomatitis and pharyngotonsillitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Herpesviral gingivostomatitis and pharyngotonsillitis

Billable Code
B00.2
Billable

Diagnostic Criteria

clinical:
  • • Presence of oral vesicles and systemic symptoms
documentation:
  • • Positive HSV-1 PCR or viral culture

Applicable To

  • • Herpesviral infection of the oral cavity
  • • Herpesviral pharyngitis

Important Notes

  • • Ensure documentation specifies oral involvement to avoid ambiguity with genital herpes codes.

Herpesviral vesicular dermatitis

Billable Code
B00.1
Billable

Diagnostic Criteria

clinical:
  • • Presence of vesicular lesions on skin, not limited to oral cavity

Applicable To

  • • Herpes simplex dermatitis

Important Notes

  • • Differentiate from oral herpes by confirming lesion location.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z11.2

Screening for herpes simplex virus

Use for screening in high-risk asymptomatic patients.

B97.3

Herpes simplex virus as the cause of diseases classified elsewhere

Use to specify HSV-1/HSV-2 if confirmed by PCR/culture.

Frequently Asked Questions

What is the ICD-10 code for herpes gingivostomatitis?

The ICD-10 code for herpes gingivostomatitis is B00.2, which covers herpesviral gingivostomatitis and pharyngotonsillitis.

How is herpes gingivostomatitis documented?

Document herpes gingivostomatitis by noting oral vesicles, systemic symptoms, and confirming with HSV-1 PCR or culture.

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