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ICD-10 Guide
ICD-10 CodesA60.01

A60.01

Herpesviral infection of penis

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

Code Description

ICD-10 A60.01 is a billable code used to indicate a diagnosis of herpesviral infection of penis.

Key Diagnostic Point:

Herpesviral infection of the penis is primarily caused by the herpes simplex virus (HSV), most commonly HSV type 2, although HSV type 1 can also be responsible. This condition is characterized by painful vesicular lesions on the penile shaft, glans, and surrounding areas. Patients may present with symptoms such as itching, burning, and discomfort during urination. The lesions typically progress from vesicles to ulcers and may crust over before healing. Recurrences are common, as the virus remains dormant in the nerve ganglia and can reactivate due to various triggers such as stress, illness, or immunosuppression. Diagnosis is usually clinical, supported by laboratory tests such as PCR or viral culture. Treatment focuses on symptom relief and antiviral medications, which can reduce the duration and severity of outbreaks. Education on safe sexual practices is crucial to prevent transmission.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between HSV-1 and HSV-2 infections
  • Variability in presentation and recurrence patterns
  • Need for accurate documentation of symptoms and treatment
  • Potential for co-infection with other sexually transmitted infections (STIs)

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Misidentification of the herpes virus type
  • Failure to document patient education on transmission prevention
  • Inconsistent coding of recurrent episodes

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed documentation of the patient's symptoms, history of outbreaks, and any laboratory results confirming the diagnosis.

Common Clinical Scenarios

Patients presenting with recurrent genital lesions, painful urination, or complications from herpes infections.

Billing Considerations

Consideration of co-existing urogenital conditions and the impact of herpes on urinary function.

Infectious Disease

Documentation Requirements

Comprehensive history of sexual activity, previous infections, and response to antiviral therapy.

Common Clinical Scenarios

Patients with complicated herpes infections or those requiring long-term management.

Billing Considerations

Assessment of immunocompromised patients and potential for atypical presentations.

Coding Guidelines

Inclusion Criteria

Use A60.01 When
  • According to ICD
  • 10 guidelines, A60
  • 01 should be used when the herpesviral infection is specifically localized to the penis
  • It is important to document the clinical findings and any laboratory confirmation to support the diagnosis

Exclusion Criteria

Do NOT use A60.01 When
No specific exclusions found.

Related CPT Codes

87522CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); herpes simplex virus

Clinical Scenario

Used when laboratory testing is performed to confirm herpes infection.

Documentation Requirements

Documentation of the clinical indication for testing and results.

Specialty Considerations

Urology and Infectious Disease specialists often order this test.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of herpes infections, improving the accuracy of data collection and reimbursement processes. A60.01 provides a clear distinction for genital herpes, which aids in better tracking and management of STIs.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of herpes infections, improving the accuracy of data collection and reimbursement processes. A60.01 provides a clear distinction for genital herpes, which aids in better tracking and management of STIs.

Reimbursement & Billing Impact

reimbursement processes. A60.01 provides a clear distinction for genital herpes, which aids in better tracking and management of STIs.

Resources

Clinical References

  • •
    CDC - Sexually Transmitted Diseases (STDs)

Coding & Billing References

  • •
    CDC - Sexually Transmitted Diseases (STDs)

Frequently Asked Questions

What are the common symptoms of herpesviral infection of the penis?

Common symptoms include painful blisters or sores on the penis, itching, burning sensation, and discomfort during urination.

How is herpesviral infection diagnosed?

Diagnosis is typically made through clinical examination and can be confirmed with laboratory tests such as PCR or viral culture.

Can herpesviral infections be cured?

There is currently no cure for herpesviral infections, but antiviral medications can help manage symptoms and reduce the frequency of outbreaks.

How can transmission of herpes be prevented?

Using condoms and avoiding sexual contact during outbreaks can significantly reduce the risk of transmission.