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v1.0.0
ICD-10 Guide
DiagnosesHerpes Virus Infection

Herpes Virus Infection

ICD-10 Coding for Herpes Virus Infection(B00.1, B00.2)

PRIMARY SPECIALTYDermatology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Herpes Virus Infection?
Essential facts and insights about Herpes Virus Infection

Key Clinical Considerations:

  • Painful vesicular lesions on the skin or mucous membranes
  • PCR testing for HSV DNA, serologic tests for HSV antibodies
  • Erythema, vesicles, and ulcerations during physical examination

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of previous outbreaks, lesion description, and location
  • Use of terms like 'herpes simplex virus type 1' or 'type 2'
  • Example: 'Patient presents with recurrent herpes labialis characterized by vesicular lesions on the lips.'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for distinguishing between HSV-1 and HSV-2
  • Common errors include misclassifying the type of herpes infection

Code Exclusions

Important Exclusions

  • Other viral infections like varicella-zoster
  • Non-herpetic skin lesions

Related ICD-10 Codes

Primary Codes
B00.1
Herpes simplex virus infection, unspecified
B00.2
Herpes simplex virus infection of the skin
Ancillary Codes
Z11.3
R50.9
Differential Codes
B02.0
J02.9

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Dermatology

Specialty Applications

  • Adults and children with recurrent herpes infections
  • Dermatology clinics and urgent care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include patient history, lesion characteristics, and treatment response.

Billing considerations?

Ensure accurate coding to reflect the type and location of the infection.