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v1.0.0
ICD-10 Guide
ICD-10 CodesB02.8

B02.8

Zoster with other complications

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

Code Description

ICD-10 B02.8 is a billable code used to indicate a diagnosis of zoster with other complications.

Key Diagnostic Point:

Zoster, commonly known as shingles, is a viral infection caused by the reactivation of the varicella-zoster virus (VZV), which also causes chickenpox. This condition is characterized by a painful rash that typically appears on one side of the body or face. The rash develops into blisters that eventually crust over. Complications associated with zoster can include postherpetic neuralgia, bacterial superinfection of the rash, and, in rare cases, neurological complications such as encephalitis or myelitis. Patients may also experience ocular complications, leading to vision impairment if the virus affects the ophthalmic branch of the trigeminal nerve. Vaccination against VZV, particularly the shingles vaccine, is recommended for older adults to reduce the risk of developing zoster and its complications. The presence of other complications necessitates careful documentation and coding to ensure appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential complications that can arise from zoster.
  • Need for precise documentation of complications to support coding.
  • Differentiation from other related codes such as B02.0 (Zoster with ophthalmic complications).
  • Potential for overlapping symptoms with other viral infections.

Audit Risk Factors

  • Inadequate documentation of complications.
  • Failure to specify the type of complications present.
  • Misuse of related codes leading to incorrect billing.
  • Inconsistent clinical findings in the medical record.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical notes on the patient's history, physical examination findings, and any complications observed.

Common Clinical Scenarios

Patients presenting with zoster and associated complications such as postherpetic neuralgia or secondary bacterial infections.

Billing Considerations

Ensure that all complications are documented clearly to support the use of B02.8.

Dermatology

Documentation Requirements

Photographic evidence of the rash, detailed descriptions of the lesions, and notes on treatment provided.

Common Clinical Scenarios

Patients with zoster presenting with skin lesions and potential secondary infections.

Billing Considerations

Document the extent of the rash and any complications to justify the coding.

Coding Guidelines

Inclusion Criteria

Use B02.8 When
  • According to ICD
  • 10 coding guidelines, B02
  • 8 should be used when zoster is accompanied by other unspecified complications
  • Coders must ensure that the documentation supports the presence of these complications and that they are not coded elsewhere

Exclusion Criteria

Do NOT use B02.8 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for patients with zoster and complications.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Ensure that the visit is clearly related to the management of zoster complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of zoster and its complications, improving the accuracy of claims and facilitating better patient care through detailed documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of zoster and its complications, improving the accuracy of claims and facilitating better patient care through detailed documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of zoster and its complications, improving the accuracy of claims and facilitating better patient care through detailed documentation.

Resources

Clinical References

  • •
    CDC Shingles Vaccine Information

Coding & Billing References

  • •
    CDC Shingles Vaccine Information

Frequently Asked Questions

What are the common complications associated with zoster?

Common complications include postherpetic neuralgia, secondary bacterial infections, and neurological complications such as encephalitis.

When should B02.8 be used?

B02.8 should be used when a patient has zoster accompanied by other unspecified complications that are documented in the medical record.