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ICD-10 Guide
ICD-10 CodesB08.69

B08.69

Other parapoxvirus infections

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

Code Description

ICD-10 B08.69 is a billable code used to indicate a diagnosis of other parapoxvirus infections.

Key Diagnostic Point:

Parapoxvirus infections are a group of viral diseases caused by viruses belonging to the genus Parapoxvirus, which are part of the Poxviridae family. These infections are typically zoonotic, meaning they can be transmitted from animals to humans. Common examples include Orf virus, which primarily affects sheep and goats, and Bovine Papular Stomatitis virus, which affects cattle. In humans, these infections can manifest as localized skin lesions, often resembling those of other poxvirus infections. Symptoms may include painful nodules or vesicles on the skin, particularly on the hands or face, and can be accompanied by fever and lymphadenopathy. While most cases are self-limiting, complications can arise, especially in immunocompromised individuals, leading to more severe infections. Vaccination against certain parapoxviruses is not routinely practiced, but individuals working with livestock may be advised to take precautions to prevent infection. Accurate diagnosis often requires a thorough clinical history and laboratory confirmation, as these infections can mimic other dermatological conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations that can mimic other conditions
  • Need for laboratory confirmation for accurate diagnosis
  • Potential for zoonotic transmission complicating patient history
  • Limited awareness among healthcare providers leading to misdiagnosis

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document exposure history to animals
  • Misclassification of the infection type
  • Lack of laboratory confirmation in medical records

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed clinical history, laboratory results, and exposure history.

Common Clinical Scenarios

Patients presenting with skin lesions after contact with livestock.

Billing Considerations

Ensure laboratory confirmation is documented to support the diagnosis.

Dermatology

Documentation Requirements

Photographic evidence of lesions, detailed descriptions of skin findings.

Common Clinical Scenarios

Patients with vesicular lesions on hands or face, especially after animal contact.

Billing Considerations

Differentiate from other dermatological conditions such as herpes simplex or varicella.

Coding Guidelines

Inclusion Criteria

Use B08.69 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the clinical presentation and any relevant exposure history
  • Include laboratory confirmation where applicable

Exclusion Criteria

Do NOT use B08.69 When
  • Exclude other poxvirus infections that are specifically coded elsewhere

Related CPT Codes

87491CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); direct probe technique

Clinical Scenario

Used when laboratory confirmation of parapoxvirus infection is required.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Infectious disease specialists should ensure proper coding for laboratory tests.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of parapoxvirus infections, improving the accuracy of data collection and epidemiological tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of parapoxvirus infections, improving the accuracy of data collection and epidemiological tracking.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC - Parapoxvirus Infections

Coding & Billing References

  • •
    CDC - Parapoxvirus Infections

Frequently Asked Questions

What are the common symptoms of parapoxvirus infections?

Common symptoms include localized skin lesions, pain, fever, and lymphadenopathy, often following exposure to infected animals.

How can parapoxvirus infections be prevented?

Preventive measures include avoiding contact with infected animals and practicing good hygiene, especially for those working with livestock.