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v1.0.0
ICD-10 Guide
DiagnosesHistory Of Shingles

History Of Shingles

ICD-10 Coding for History of Shingles(Z86.1)

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

Diagnosis Overview

What is History Of Shingles?
Essential facts and insights about History of Shingles

Key Clinical Considerations:

  • History of herpes zoster infection
  • Presence of postherpetic neuralgia or recurrent shingles episodes
  • Physical exam may show scars or skin changes from previous shingles outbreaks

Clinical Information

Clinical Criteria & Documentation Requirements

  • Document patient's history of shingles and any recurrent episodes
  • Use specific terminology such as 'herpes zoster' and 'postherpetic neuralgia'
  • Examples include: 'Patient has a history of shingles diagnosed in 2020 with subsequent neuralgia.'

Coding Guidelines

Usage Guidelines & Examples

  • Ensure correct use of B02 codes for shingles history versus active infection.
  • Common errors include misclassifying shingles as a current infection when it's historical.

Code Exclusions

Important Exclusions

  • Active herpes zoster infection
  • Other viral infections causing similar symptoms

Related ICD-10 Codes

Primary Codes
B02.9
Zoster (herpes zoster) without complications
B03.9
Postherpetic neuralgia
Ancillary Codes
B02.29
Z86.1
if the patient has ongoing neuralgia from a past shingles episode.
Differential Codes
B02.9
B02.9
for active shingles cases, not for historical documentation.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Primary Care

Specialty Applications

  • Adults with a history of shingles
  • Primary care settings for follow-up and management

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?

Document the history of shingles, including dates and symptoms.

Billing considerations?

Ensure correct ICD codes are used to reflect the patient's history and current symptoms.