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Home/Diagnosis/ICD-10 Coding for Herpes Simplex Virus 1

ICD-10 Coding for Herpes Simplex Virus 1

B00.1
B00.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for herpes simplex virus 1 includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
HSV-1
Oral Herpes
Cold Sores
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Key Information: ICD-10 Coding for Herpes Simplex Virus 1

Essential facts and insights about ICD-10 Coding for Herpes Simplex Virus 1

Use ICD-10 code B00.1 for herpesviral vesicular dermatitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Herpesviral vesicular dermatitis

Billable Code
B00.1
Billable

Diagnostic Criteria

clinical:
  • • Presence of vesicular lesions on the lips confirmed by PCR for HSV-1.
documentation:
  • • Explicit mention of HSV-1 and lesion location in the medical record.

Applicable To

  • • Herpes labialis
  • • Cold sores

Important Notes

  • • Ensure documentation specifies HSV-1 and the site of infection.

Herpesviral gingivostomatitis and pharyngotonsillitis

Billable Code
B00.2
Billable

Diagnostic Criteria

clinical:
  • • Viral culture confirming HSV-1
  • • Clinical presentation of gingival inflammation

Applicable To

  • • Severe oral mucosal involvement

Important Notes

  • • Document the presence of gingival inflammation and confirm HSV-1.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z23

Encounter for immunization

Use if vaccination counseling occurs during the same encounter.

Frequently Asked Questions

What is the ICD-10 code for herpes simplex 1?

The ICD-10 code for herpes simplex 1, specifically for oral manifestations like cold sores, is B00.1.

How do you document herpes simplex 1?

Document herpes simplex 1 by specifying the HSV type, lesion location, and confirming with lab tests like PCR or viral culture.

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