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ICD-10 Guide
ICD-10 CodesA60.02

A60.02

Herpesviral infection of other male genital organs

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

Code Description

ICD-10 A60.02 is a billable code used to indicate a diagnosis of herpesviral infection of other male genital organs.

Key Diagnostic Point:

A herpesviral infection of the male genital organs, specifically affecting areas other than the penis, such as the scrotum, perineum, or other surrounding tissues. This condition is caused by the herpes simplex virus (HSV), which can lead to painful lesions, inflammation, and discomfort. The infection can be primary or recurrent, with symptoms including itching, burning, and the appearance of vesicular lesions. Diagnosis is typically made through clinical examination and may be confirmed with laboratory tests, such as PCR or viral culture. Treatment often involves antiviral medications to reduce symptoms and the duration of outbreaks. It is important for healthcare providers to educate patients about transmission risks, especially in sexual contexts, and to discuss safe practices to prevent the spread of the virus.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary and recurrent infections.
  • Identifying the specific site of infection within the male genital organs.
  • Understanding the nuances of herpes simplex virus types (HSV-1 vs. HSV-2).
  • Navigating the documentation requirements for sexually transmitted infections.

Audit Risk Factors

  • Inadequate documentation of the specific site of infection.
  • Failure to document the patient's history of herpes infections.
  • Misclassification of the type of herpes simplex virus.
  • Lack of supporting laboratory test results.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on the patient's symptoms, history of STIs, and any diagnostic tests performed.

Common Clinical Scenarios

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

Billing Considerations

Ensure that the documentation clearly states the site of infection and any associated symptoms.

Infectious Disease

Documentation Requirements

Comprehensive history of the patient's sexual health, previous infections, and treatment responses.

Common Clinical Scenarios

Patients with recurrent herpes infections or those requiring antiviral therapy management.

Billing Considerations

Document any co-infections or complications that may affect treatment.

Coding Guidelines

Inclusion Criteria

Use A60.02 When
  • According to ICD
  • 10 guidelines, A60
  • 02 should be used when the herpesviral infection specifically affects areas other than the penis
  • It is important to document the specific site of infection and any relevant clinical findings

Exclusion Criteria

Do NOT use A60.02 When
  • Exclusion criteria include infections that are not caused by herpes simplex virus

Related CPT Codes

87529CPT Code

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

Clinical Scenario

Used when laboratory testing is performed to confirm a herpes infection.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Urologists and infectious disease specialists should ensure that testing aligns with clinical presentation.

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 reimbursement processes. A60.02 provides a distinct code for infections affecting areas other than the penis, which was less clearly defined in ICD-9.

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 reimbursement processes. A60.02 provides a distinct code for infections affecting areas other than the penis, which was less clearly defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. A60.02 provides a distinct code for infections affecting areas other than the penis, which was less clearly defined in ICD-9.

Resources

Clinical References

  • •
    CDC - Genital Herpes

Coding & Billing References

  • •
    CDC - Genital Herpes

Frequently Asked Questions

What are the common symptoms of A60.02?

Common symptoms include painful lesions, itching, burning sensations, and inflammation in the affected areas.

How is A60.02 diagnosed?

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

What treatments are available for A60.02?

Antiviral medications are commonly prescribed to manage symptoms and reduce the frequency of outbreaks.