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ICD-10 Guide
ICD-10 CodesB08.02

B08.02

Orf virus disease

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

Code Description

ICD-10 B08.02 is a billable code used to indicate a diagnosis of orf virus disease.

Key Diagnostic Point:

Orf virus disease, also known as contagious ecthyma, is a viral infection caused by the Orf virus, a member of the Parapoxvirus genus. It primarily affects sheep and goats but can be transmitted to humans, particularly those who handle infected animals or animal products. The disease is characterized by the development of pustular lesions on the skin, typically on the hands, face, and forearms, where the virus enters through abrasions or cuts. The lesions are often painful and can take several weeks to heal. In immunocompromised individuals, the infection may lead to more severe complications, including systemic involvement. Diagnosis is usually clinical, based on the characteristic appearance of the lesions, but can be confirmed through laboratory tests such as PCR. While there is no specific antiviral treatment for Orf virus disease, supportive care is recommended to manage symptoms. Vaccination against the Orf virus is available for livestock, which can help prevent the spread of the virus to humans.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Limited awareness of the disease among healthcare providers
  • Variability in clinical presentation
  • Potential for misdiagnosis with other skin lesions
  • Need for specific documentation of exposure history

Audit Risk Factors

  • Inadequate documentation of exposure to infected animals
  • Misclassification of the condition as a different viral infection
  • Failure to document the duration and severity of lesions
  • Lack of follow-up documentation for complications

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed description of lesions, including size, location, and duration.

Common Clinical Scenarios

Patients presenting with pustular lesions after contact with livestock.

Billing Considerations

Ensure accurate documentation of exposure history and lesion characteristics.

Infectious Disease

Documentation Requirements

Comprehensive patient history, including immunocompromised status and previous infections.

Common Clinical Scenarios

Patients with systemic symptoms or complications from Orf virus disease.

Billing Considerations

Consider differential diagnoses and document any laboratory confirmations.

Coding Guidelines

Inclusion Criteria

Use B08.02 When
  • According to ICD
  • 10 guidelines, B08
  • 02 should be used when the condition is confirmed and documented
  • It is important to include details about exposure to infected animals and the clinical presentation of lesions

Exclusion Criteria

Do NOT use B08.02 When
  • Exclusion criteria include other viral infections that present similarly

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient presents with Orf virus disease for evaluation and management.

Documentation Requirements

Document the history, examination findings, and treatment plan.

Specialty Considerations

Dermatology may require additional details on lesion characteristics.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Orf virus disease, improving the accuracy of data collection and reimbursement processes. It has also highlighted the need for detailed documentation regarding exposure and clinical presentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Orf virus disease, improving the accuracy of data collection and reimbursement processes. It has also highlighted the need for detailed documentation regarding exposure and clinical presentation.

Reimbursement & Billing Impact

reimbursement processes. It has also highlighted the need for detailed documentation regarding exposure and clinical presentation.

Resources

Clinical References

  • •
    CDC - Orf Virus Disease

Coding & Billing References

  • •
    CDC - Orf Virus Disease

Frequently Asked Questions

What are the common symptoms of Orf virus disease?

Common symptoms include pustular lesions on the skin, particularly on the hands and face, which can be painful and may take weeks to heal.

How is Orf virus disease transmitted?

Orf virus disease is transmitted through direct contact with infected animals or contaminated materials, particularly in individuals who handle livestock.

Is there a vaccine for Orf virus disease?

Yes, there is a vaccine available for livestock to prevent the spread of the Orf virus, but there is no specific vaccine for humans.