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ICD-10 Guide
ICD-10 CodesB02.34

B02.34

Zoster scleritis

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

Code Description

ICD-10 B02.34 is a billable code used to indicate a diagnosis of zoster scleritis.

Key Diagnostic Point:

Zoster scleritis is an inflammatory condition of the sclera that occurs as a complication of herpes zoster (shingles), which is caused by the reactivation of the varicella-zoster virus (VZV). This condition typically presents with symptoms such as eye pain, redness, and visual disturbances. The inflammation can lead to significant ocular complications if not treated promptly. Patients may experience photophobia and tearing, and the condition can be associated with other complications of herpes zoster, including postherpetic neuralgia. Diagnosis is primarily clinical, supported by the patient's history of varicella infection or vaccination, and may involve imaging studies or laboratory tests to rule out other causes of scleritis. Treatment often includes antiviral medications, corticosteroids, and pain management strategies. Early intervention is crucial to prevent long-term visual impairment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of viral infections and their complications.
  • Differentiation from other types of scleritis.
  • Documentation of prior varicella infection or vaccination status.
  • Potential for co-morbid conditions affecting the eye.

Audit Risk Factors

  • Inadequate documentation of the patient's history of varicella infection.
  • Failure to document the severity of symptoms.
  • Misclassification of scleritis type.
  • Lack of supporting evidence for antiviral treatment.

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed ocular examination findings, history of herpes zoster, and treatment plans.

Common Clinical Scenarios

Patients presenting with eye pain and redness following a herpes zoster outbreak.

Billing Considerations

Documentation must clearly indicate the relationship between herpes zoster and scleritis.

Infectious Disease

Documentation Requirements

History of varicella infection, treatment regimens, and follow-up care.

Common Clinical Scenarios

Patients with recurrent herpes zoster infections and associated complications.

Billing Considerations

Need for comprehensive documentation of viral load and response to antiviral therapy.

Coding Guidelines

Inclusion Criteria

Use B02.34 When
  • According to ICD
  • 10 guidelines, B02
  • 34 should be used when scleritis is specifically due to herpes zoster
  • It is important to document the patient's history of varicella infection or vaccination to support the diagnosis

Exclusion Criteria

Do NOT use B02.34 When
No specific exclusions found.

Related CPT Codes

92014CPT Code

Ophthalmological examination, comprehensive, established patient

Clinical Scenario

Used when evaluating a patient with zoster scleritis.

Documentation Requirements

Complete ocular examination findings and history.

Specialty Considerations

Ophthalmologists should document the relationship between herpes zoster and ocular symptoms.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like zoster scleritis, improving the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like zoster scleritis, improving the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC - Shingles (Herpes Zoster)

Coding & Billing References

  • •
    CDC - Shingles (Herpes Zoster)

Frequently Asked Questions

What is the primary cause of zoster scleritis?

Zoster scleritis is primarily caused by the reactivation of the varicella-zoster virus, which leads to inflammation of the sclera.

How can zoster scleritis be differentiated from other types of scleritis?

Zoster scleritis is differentiated by the patient's history of herpes zoster infection and specific ocular symptoms associated with the condition.