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Home/Diagnosis/ICD-10 Coding for Labial Herpes

ICD-10 Coding for Labial Herpes

B00.1
B00.2

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

Also Known as:
Cold Sores
Herpes Labialis
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Key Information: ICD-10 Coding for Labial Herpes

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

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 lips confirmed by PCR for HSV-1/2.
coding:
  • • Avoid using B00.9 when specific HSV type is confirmed.

Applicable To

  • • Herpes labialis

Important Notes

  • • Ensure documentation specifies HSV type and lesion location to avoid unspecified codes.

Herpesviral gingivostomatitis and pharyngotonsillitis

Billable Code
B00.2
Billable

Diagnostic Criteria

clinical:
  • • Lesions involving oral mucosa or throat
  • • HSV confirmation via PCR or culture

Applicable To

  • • Oral herpes simplex

Important Notes

  • • Ensure documentation specifies lesion location to differentiate from B00.1.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z77.22

Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

Use if the patient has a history of tobacco exposure that exacerbates herpes outbreaks.

Frequently Asked Questions

What is the ICD-10 code for labial herpes?

The ICD-10 code for labial herpes is B00.1, which covers herpesviral vesicular dermatitis affecting the lips.

How do you code herpes lesions in the oral cavity?

For herpes lesions in the oral cavity, use ICD-10 code B00.2, which covers herpesviral gingivostomatitis.

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