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ICD-10 Guide
ICD-10 CodesA60

A60

Anogenital herpesviral (herpes simplex) infection

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED08/28/2025

Code Description

ICD-10 A60 is a used to indicate a diagnosis of anogenital herpesviral (herpes simplex) infection.

Key Diagnostic Point:

Anogenital herpesviral infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Standard complexity factors

Audit Risk Factors

  • Standard audit considerations

Specialty Focus

Coding Guidelines

Inclusion Criteria

Use A60 When
  • CM A60 is a non
  • billable code, which means that it cannot be used as a claim for an insurance reimbursement
  • It should be used for clinical notation or data collection purposes only, and not for billing purposes
  • It is only used to specify the diagnosis for non
  • reimbursement purposes
  • Inclusion criteria:
  • The diseases or conditions covered under ICD
  • CM A60 include anogenital (venereal) herpesviral [herpes simplex] infections that are sexually transmitted

Exclusion Criteria

Do NOT use A60 When
  • Exclusion criteria:

Related Codes

Child Codes

9 codes
A60.0
Herpesviral infection of genitalia and urogenital tract, unspecified
A60.00
Herpesviral infection of urogenital system, unspecified
A60.01
Herpesviral infection of penis
A60.02
Herpesviral infection of other male genital organs
A60.03
Herpesviral cervicitis
A60.04
Herpesviral vulvovaginitis
A60.09
Herpesviral infection of other urogenital tract
A60.1
Herpesviral infection of genitalia and urogenital tract, unspecified
A60.9
Anogenital herpesviral infection, unspecified

Related CPT Codes

No CPT Codes Available

Related CPT codes for this diagnosis will be displayed here when available.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

ICD-10, also known as the 10th Revision of the International Classification of Diseases, enables a higher level of coding that provides more specific data about a patient’s illness, such as the severity, anatomical location, and type of disease.
ICD-10 codes like A60 (Anogenital (venereal) herpesviral [herpes simplex] infection), although non-billable, are still essential for healthcare documentation and epidemiological research. These codes help in surveillance to monitor the prevalence of diseases and other health problems.
Specificity: ICD-10 brings a higher level of specificity to medical coding. For instance, under ICD-9, A60 would have been a more general code. With ICD-10, there are more specific codes under A60 that give more accurate information about the form of herpesviral infection a patient has.

ICD-9 vs ICD-10

ICD-10, also known as the 10th Revision of the International Classification of Diseases, enables a higher level of coding that provides more specific data about a patient’s illness, such as the severity, anatomical location, and type of disease. ICD-10 codes like A60 (Anogenital (venereal) herpesviral [herpes simplex] infection), although non-billable, are still essential for healthcare documentation and epidemiological research. These codes help in surveillance to monitor the prevalence of diseases and other health problems. Specificity: ICD-10 brings a higher level of specificity to medical coding. For instance, under ICD-9, A60 would have been a more general code. With ICD-10, there are more specific codes under A60 that give more accurate information about the form of herpesviral infection a patient has. Reimbursement: While A60 itself is non-billable, it has various billable sub-codes that are used for reimbursement purposes. These sub-codes help in getting more precise reimbursements as they thoroughly describe the...

Reimbursement & Billing Impact

Reimbursement: While A60 itself is non-billable, it has various billable sub-codes that are used for reimbursement purposes. These sub-codes help in getting more precise reimbursements as they thoroughly describe the exact condition of the patient. For example, a more severe condition would need more medical resources and thus would attract a higher reimbursement rate.

Resources

Clinical References

No clinical reference resources available for this code.

Coding & Billing References

No coding and billing reference resources available for this code.

Frequently Asked Questions

What is the ICD-10 code A60?

A1: The ICD-10 code A60 refers to Anogenital (venereal) herpesviral [herpes simplex] infection, which is further broken down into different specific codes for each type of infection.

Why is ICD-10 code A60 considered a non-billable code?

A2: ICD-10 code A60 is non-billable because it is not specific enough for billing purposes. To make a billable claim, you must choose a specific code that falls under A60 to accurately reflect the patient's health condition.

How does the documentation affect billing of the A60 ICD-10 code?

A3: Documentation is important for billing because it serves as the basis for selecting the most appropriate and specific code under A60. It is crucial to include clear descriptions and relevant clinical details in the patient's medical records to enable accurate coding.

Can you give an example of a billable A60 ICD-10 code?

A4: An example of a billable A60 ICD-10 code is A60.01, which is a specific code for Herpesviral vesicular dermatitis.

What is the importance of the ICD-10 code A60 in relation to the disease classification?

A5: The ICD-10 code A60 plays a significant role in disease classification. It allows medical professionals to precisely categorize the type and severity of anogenital herpesviral infections, which is beneficial in designing the most suitable treatment plan and managing patient's health records.

What happens if I accidentally use the non-billable A60 ICD-10 code for billing?

A6: If you mistakenly use the non-billable A60 ICD-10 code for billing, the likely scenario is that the claim will be rejected due to the lack of specificity. If denied, you would need to resubmit with a more specific, billable code from A60 subcategories.