ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesA60.0

A60.0

Herpesviral infection of genitalia and urogenital tract, unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A60.0 is a billable code used to indicate a diagnosis of herpesviral infection of genitalia and urogenital tract, unspecified.

Key Diagnostic Point:

Herpesviral infections of the genitalia and urogenital tract are primarily caused by the herpes simplex virus (HSV), which can manifest as painful sores, lesions, and systemic symptoms. The condition is often categorized into two types: HSV-1, typically associated with oral herpes, and HSV-2, which is more commonly linked to genital infections. Patients may present with symptoms such as itching, burning, and painful urination, alongside visible lesions. Diagnosis is usually confirmed through clinical examination and laboratory tests, including viral cultures or polymerase chain reaction (PCR) assays. The unspecified nature of this code indicates that the specific type of herpesvirus infection has not been determined or documented, which can complicate treatment and management. Treatment typically involves antiviral medications to reduce symptoms and the frequency of outbreaks. Education on transmission and safe practices is crucial for affected individuals to prevent the spread of the virus.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the infection can lead to ambiguity in coding.
  • Differentiating between HSV-1 and HSV-2 may require additional documentation.
  • Variability in clinical presentation can complicate diagnosis.
  • Potential for co-infections with other sexually transmitted infections (STIs).

Audit Risk Factors

  • Inadequate documentation of symptoms and laboratory findings.
  • Failure to specify the type of herpesvirus when known.
  • Lack of patient education documentation regarding transmission.
  • Inconsistent coding practices among different providers.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients presenting with recurrent genital lesions or atypical presentations.

Billing Considerations

Consideration of co-infections and comprehensive STI screening.

Urology

Documentation Requirements

Urological assessments, symptom descriptions, and treatment responses.

Common Clinical Scenarios

Patients with urinary symptoms and genital lesions.

Billing Considerations

Differentiating between herpes and other urogenital conditions.

Coding Guidelines

Inclusion Criteria

Use A60.0 When
  • According to ICD
  • 10 guidelines, A60
  • 0 should be used when the specific type of herpesvirus infection is not documented
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis

Exclusion Criteria

Do NOT use A60.0 When
  • Exclusion criteria include cases where the type of herpesvirus is known and can be coded more specifically

Related CPT Codes

87529CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); herpes simplex virus, type 1 or type 2

Clinical Scenario

Used when testing for herpes simplex virus type in patients with suspected genital herpes.

Documentation Requirements

Document the reason for testing and any relevant patient history.

Specialty Considerations

Infectious disease specialists may require additional lab results for comprehensive management.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of herpesviral infections, improving the accuracy of data collection and treatment planning. A60.0 serves as a catch-all for unspecified cases, but coders are encouraged to seek more specific codes when possible.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of herpesviral infections, improving the accuracy of data collection and treatment planning. A60.0 serves as a catch-all for unspecified cases, but coders are encouraged to seek more specific codes when possible.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of herpesviral infections, improving the accuracy of data collection and treatment planning. A60.0 serves as a catch-all for unspecified cases, but coders are encouraged to seek more specific codes when possible.

Resources

Clinical References

  • •
    CDC - Genital Herpes

Coding & Billing References

  • •
    CDC - Genital Herpes

Frequently Asked Questions

What should I document to support the use of A60.0?

Document the patient's symptoms, any laboratory tests performed, and the clinical rationale for using the unspecified code. If the type of herpesvirus is later identified, update the code accordingly.