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Home/Diagnosis/ICD-10 Coding for Oral Herpes

ICD-10 Coding for Oral Herpes

B00.1
B00.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for oral 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 Oral Herpes

Essential facts and insights about ICD-10 Coding for Oral 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 the lip border
documentation:
  • • PCR confirmation of HSV-1

Applicable To

  • • Herpes labialis

Important Notes

  • • Ensure lesion location is documented to avoid using unspecified codes.

Herpesviral gingivostomatitis and pharyngotonsillitis

Billable Code
B00.2
Billable

Diagnostic Criteria

clinical:
  • • Clinical presentation of ulcers on gingiva or pharynx
documentation:
  • • PCR confirmation of HSV-1 or HSV-2

Applicable To

  • • Herpesviral pharyngotonsillitis

Important Notes

  • • Ensure lesion location is documented to avoid using unspecified codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

R50.9

Fever, unspecified

Use if fever is present and not integral to the herpes infection.

K13.0

Diseases of lips

Use if oral mucositis is present as a complication.

Frequently Asked Questions

What is the ICD-10 code for oral herpes?

The ICD-10 code for oral herpes, specifically herpes labialis, is B00.1. It is used for vesicular lesions on the lips confirmed by PCR.

How do you code herpes gingivostomatitis?

Herpes gingivostomatitis is coded as B00.2, used for lesions on the gingiva or pharynx, confirmed by PCR.

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