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ICD-10 Guide
ICD-10 CodesB30.2

B30.2

Viral conjunctivitis

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

Code Description

ICD-10 B30.2 is a billable code used to indicate a diagnosis of viral conjunctivitis.

Key Diagnostic Point:

Viral conjunctivitis, commonly referred to as pink eye, is an inflammation of the conjunctiva caused by viral infections. The most prevalent viral pathogens include adenoviruses, which are responsible for the majority of cases, as well as herpes simplex virus (HSV) and varicella-zoster virus (VZV). Symptoms typically include redness, itching, tearing, and discharge from the eye, which may be watery or mucous-like. Diagnosis is primarily clinical, based on the patient's history and physical examination, although laboratory tests such as conjunctival swabs may be utilized to identify specific viral agents in atypical cases. Treatment is generally supportive, focusing on symptom relief, as most viral conjunctivitis cases are self-limiting. Antiviral medications may be indicated in cases caused by HSV, where topical antivirals like acyclovir can be effective. It is crucial for healthcare providers to educate patients on hygiene practices to prevent the spread of the infection, especially in communal settings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of viral pathogens that can cause conjunctivitis
  • Differentiation from bacterial conjunctivitis
  • Potential for co-infections with other ocular conditions
  • Need for accurate documentation of symptoms and duration

Audit Risk Factors

  • Inadequate documentation of viral etiology
  • Misdiagnosis as bacterial conjunctivitis
  • Failure to document patient education on hygiene
  • Lack of follow-up notes for persistent symptoms

Specialty Focus

Medical Specialties

Ophthalmology

Documentation Requirements

Detailed examination findings, including visual acuity and specific symptoms.

Common Clinical Scenarios

Patients presenting with red eye, discharge, and photophobia.

Billing Considerations

Documentation should specify the viral agent when known and any treatments provided.

Primary Care

Documentation Requirements

History of symptoms, duration, and any associated systemic symptoms.

Common Clinical Scenarios

Patients with acute onset of eye redness and discharge.

Billing Considerations

Emphasis on patient education regarding hygiene and follow-up care.

Coding Guidelines

Inclusion Criteria

Use B30.2 When
  • According to ICD
  • 10 guidelines, B30
  • 2 should be used when the conjunctivitis is confirmed to be viral in nature
  • It is important to document the specific viral agent when possible and to differentiate from other types of conjunctivitis

Exclusion Criteria

Do NOT use B30.2 When
No specific exclusions found.

Related CPT Codes

92002CPT Code

Ophthalmological examination, new patient

Clinical Scenario

Used when a new patient presents with symptoms of conjunctivitis.

Documentation Requirements

Document the examination findings and any treatments provided.

Specialty Considerations

Ophthalmologists should ensure thorough documentation of visual acuity and ocular health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of viral conjunctivitis, enabling better tracking of epidemiological trends and treatment outcomes. This specificity aids in research and public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of viral conjunctivitis, enabling better tracking of epidemiological trends and treatment outcomes. This specificity aids in research and public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of viral conjunctivitis, enabling better tracking of epidemiological trends and treatment outcomes. This specificity aids in research and public health initiatives.

Resources

Clinical References

  • •
    American Academy of Ophthalmology - Conjunctivitis

Coding & Billing References

  • •
    American Academy of Ophthalmology - Conjunctivitis

Frequently Asked Questions

What are the common causes of viral conjunctivitis?

The most common causes of viral conjunctivitis include adenoviruses, herpes simplex virus, and varicella-zoster virus. Adenoviruses are responsible for the majority of cases.

How is viral conjunctivitis diagnosed?

Viral conjunctivitis is primarily diagnosed based on clinical symptoms and history. Laboratory tests may be used in atypical cases to identify the specific viral agent.

What treatments are available for viral conjunctivitis?

Treatment for viral conjunctivitis is generally supportive, focusing on symptom relief. In cases caused by herpes simplex virus, topical antivirals may be prescribed.