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ICD-10 Guide
ICD-10 CodesA60.09

A60.09

Herpesviral infection of other urogenital tract

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

Code Description

ICD-10 A60.09 is a billable code used to indicate a diagnosis of herpesviral infection of other urogenital tract.

Key Diagnostic Point:

Herpesviral infections of the urogenital tract are caused primarily by the herpes simplex virus (HSV), which can lead to various clinical manifestations, including genital herpes. The infection can affect areas beyond the genitalia, such as the urethra, cervix, and other parts of the urogenital system. Symptoms may include painful lesions, itching, and dysuria. The condition can be recurrent, with episodes triggered by stress, illness, or immunosuppression. Diagnosis is typically made through clinical evaluation and laboratory tests, including viral cultures or polymerase chain reaction (PCR) assays. Treatment often involves antiviral medications to reduce the severity and duration of symptoms. It is essential for healthcare providers to screen for herpes infections in sexually active individuals, especially those presenting with atypical genital symptoms, to ensure timely diagnosis and management. The complexity of coding for herpesviral infections arises from the need to differentiate between various types of herpes infections and their specific locations within the urogenital tract.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between HSV types (1 vs. 2)
  • Variability in clinical presentation
  • Need for laboratory confirmation
  • Potential for co-infections with other STIs

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the type of herpes virus
  • Lack of laboratory confirmation
  • Misclassification of the site of infection

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history, laboratory test results, and treatment plans.

Common Clinical Scenarios

Patients presenting with recurrent genital lesions or atypical symptoms.

Billing Considerations

Ensure clear documentation of the type of herpes virus and any co-infections.

Urology

Documentation Requirements

Clinical findings, imaging studies, and any surgical interventions.

Common Clinical Scenarios

Men presenting with urethritis or other urogenital symptoms.

Billing Considerations

Document any differential diagnoses to support coding.

Coding Guidelines

Inclusion Criteria

Use A60.09 When
  • According to ICD
  • 10 guidelines, A60
  • 09 should be used when the herpesviral infection is confirmed and documented as affecting the urogenital tract, excluding cases where the infection is limited to the oral cavity or other non
  • urogenital sites

Exclusion Criteria

Do NOT use A60.09 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 confirming a herpesviral infection.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure accurate lab results are included.

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. A60.09 provides a clear distinction for infections affecting the urogenital tract.

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. A60.09 provides a clear distinction for infections affecting the urogenital tract.

Reimbursement & Billing Impact

reimbursement processes. A60.09 provides a clear distinction for infections affecting the urogenital tract.

Resources

Clinical References

  • •
    CDC - Sexually Transmitted Diseases (STDs)

Coding & Billing References

  • •
    CDC - Sexually Transmitted Diseases (STDs)

Frequently Asked Questions

What is the difference between A60.09 and A60.00?

A60.09 specifies herpesviral infections of other urogenital tract, while A60.00 is used for unspecified urogenital infections.